Organization
SUNRISE NEURO BEHAVIORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA FANCHER (MANAGING PARTNER)
(915) 996-7223
Entity
Organization
Contact information
Practice address
1155 S TELSHOR BLVD STE 205, LAS CRUCES, NM 88011-4788
(915) 433-2568
Mailing address
1155 S TELSHOR BLVD STE 205, LAS CRUCES, NM 88011-4788
(915) 996-7223
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/05/2020
Last updated
01/26/2023
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