| La Frontera Center Inc. Dba La Frontera New Mexico, Inc. | |
|
249 White Mountain Dr Mescalero NM 88340-9622 | |
| (575) 464-0016 | |
| Not Available |
| Full Name | La Frontera Center Inc. Dba La Frontera New Mexico, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 249 White Mountain Dr, Mescalero, New Mexico |
| Authorized Official Name and Position | Daniel J Ranieri (CONTRACTS ADMINISTRATOR) |
| Authorized Official Contact | 5208385600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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. 249 White Mountain Dr Mescalero NM 88340-9622 Ph: (575) 464-0016 |
| NPI Number | 1295162030 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295162030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (New Mexico) | Primary |
Mescalero System Of Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 War Bonnet Drive, Mescalero, NM 88340 Phone: 575-464-4301 Fax: 575-464-3404 | |
Mescalero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 White Mountain Dr, Mescalero, NM 88340 Phone: 505-464-4431 Fax: 505-464-4822 |