Organization
LA FRONTERA CENTER, INC. DBA LA FRONTERA NEW MEXICO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J RANIERI PH.D. (PRESIDENT AND CEO)
(520) 838-5600
Entity
Organization
Contact information
Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(520) 838-5600
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 838-5600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
08/10/2013
Last updated
10/10/2013
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