Organization
FERNANDEZ COMMUNITY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YANET A FERNANDEZ MS (EXECUTIVE DIRECTOR)
(919) 449-1084
Entity
Organization
Contact information
Practice address
8522 SIX FORKS RD STE 102, RALEIGH, NC 27615-3098
(919) 900-7438
(919) 900-7576
Mailing address
8376 SIX FORKS RD STE 104, RALEIGH, NC 27615-5095
(919) 900-7438
(919) 900-7576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2012
Last updated
07/21/2015
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