Organization
AMANECER COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA HERNANDEZ (CHIEF OPERATING OFFICER)
(575) 882-5100
Entity
Organization
Contact information
Practice address
128 WYATT DR, LAS CRUCES, NM 88005-2925
(575) 882-5100
(575) 882-1151
Mailing address
PO BOX 2671, ANTHONY, NM 88021-2671
(575) 882-5100
(575) 882-1151
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35650338
—
NM
Enumeration date
09/25/2018
Last updated
09/25/2018
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