Organization
FERNANDEZ FAMILIA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YANET FERNANDEZ (EXCUTIVE DIRECTOR)
(646) 244-9931
Entity
Organization
Contact information
Practice address
312 W MILLBROOK RD STE 121, RALEIGH, NC 27609-4398
(919) 926-7503
Mailing address
312 W MILLBROOK RD SUITE 121, RALEIGH, NC 27609
(919) 926-7503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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