La Frontera Center, Inc. Dba La Frontera New Mexico, Inc. | |
100 W Griggs Ave Las Cruces NM 88001-1234 | |
(520) 838-5600 | |
Not Available |
Full Name | La Frontera Center, Inc. Dba La Frontera New Mexico, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 100 W Griggs Ave, Las Cruces, New Mexico |
Authorized Official Name and Position | Daniel J Ranieri (PRESIDENT AND CEO) |
Authorized Official Contact | 5208385600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Frontera Center, Inc. Dba La Frontera New Mexico, Inc. 504 W 29th St Tucson AZ 85713-3353 Ph: (520) 838-5600 | La Frontera Center, Inc. Dba La Frontera New Mexico, Inc. 100 W Griggs Ave Las Cruces NM 88001-1234 Ph: (520) 838-5600 |
NPI Number | 1790118099 |
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Provider Enumeration Date | 08/10/2013 |
Last Update Date | 10/10/2013 |
Identifier | Type | State | Issuer |
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1790118099 | NPI | - | NPPES |
18677037 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (New Mexico) | Primary |
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Epoch Behavioral Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Las Cruces, NM 88001 Phone: 855-469-3242 Fax: 855-324-2329 |