Sunrise Neuro Behavioral Llc | |
1155 S Telshor Blvd Ste 205 Las Cruces NM 88011-4788 | |
(915) 433-2568 | |
Not Available |
Full Name | Sunrise Neuro Behavioral Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1155 S Telshor Blvd Ste 205, Las Cruces, New Mexico |
Authorized Official Name and Position | Diana Fancher (MANAGING PARTNER) |
Authorized Official Contact | 9159967223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunrise Neuro Behavioral Llc 1155 S Telshor Blvd Ste 205 Las Cruces NM 88011-4788 Ph: (915) 996-7223 | Sunrise Neuro Behavioral Llc 1155 S Telshor Blvd Ste 205 Las Cruces NM 88011-4788 Ph: (915) 433-2568 |
NPI Number | 1285230391 |
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Provider Enumeration Date | 12/05/2020 |
Last Update Date | 01/26/2023 |
Certification Date | 01/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285230391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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