Organization
NUEVO DIA BEHAVIORAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO JAVIER GUILLEN I PMHNP-BC (NURSE PRACTITIONER)
(575) 571-9076
Entity
Organization
Contact information
Practice address
1570 W PICACHO AVE STE 2, LAS CRUCES, NM 88005-2375
(575) 571-9076
Mailing address
2007 TURRENTINE DR, LAS CRUCES, NM 88005-3344
(575) 386-3234
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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