La Frontera Center Inc. DBA La Frontera New Mexico, Inc.
NPI #1295162030 in Mescalero, New Mexico
Provider Information
- NPI Number
- 1295162030
- Entity Type
- Organization
- Organization Name
- La Frontera Center Inc. DBA La Frontera New Mexico, Inc.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 10, 2013
- Last Updated
- Oct 10, 2013
Practice Location
- Address
- 249 WHITE MOUNTAIN DR
- City
- Mescalero
- State
- New Mexico
- ZIP Code
- 88340-9622
- Phone
- (575) 464-0016
Authorized Official
- Name
- DR. DANIEL J RANIERI, MBA
- Title
- CONTRACTS ADMINISTRATOR
- Phone
- (520) 838-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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