| Project Fernando, Llc | |
|
1100 S Main St Ste 6 Las Cruces NM 88005-2917 | |
| (575) 496-6515 | |
| (575) 208-7253 |
| Full Name | Project Fernando, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1100 S Main St Ste 6, Las Cruces, New Mexico |
| Authorized Official Name and Position | Lee King (CEO) |
| Authorized Official Contact | 5754966515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Fernando, Llc 1100 S Main St Ste 6 Las Cruces NM 88005-2917 Ph: (575) 496-6515 | Project Fernando, Llc 1100 S Main St Ste 6 Las Cruces NM 88005-2917 Ph: (575) 496-6515 |
| NPI Number | 1487164810 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 10/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487164810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4878 (New Mexico) | Primary |
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