Organization
PROJECT FERNANDO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE KING (CEO)
(575) 496-6515
Entity
Organization
Contact information
Practice address
1100 S MAIN ST STE 6, LAS CRUCES, NM 88005-2917
(575) 496-6515
(575) 208-7253
Mailing address
1100 S MAIN ST STE 6, LAS CRUCES, NM 88005-2917
(575) 496-6515
(575) 208-7253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4878
NM
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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