La Frontera Center Inc. Dba La Frontera New Mexico, Inc. | |
1400 Sudderth Dr Ruidoso NM 88345-6103 | |
(575) 630-0571 | |
Not Available |
Full Name | La Frontera Center Inc. Dba La Frontera New Mexico, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1400 Sudderth Dr, Ruidoso, New Mexico |
Authorized Official Name and Position | Daniel J Ranieri (PRESIDENT AND CEO) |
Authorized Official Contact | 5208385600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Frontera Center Inc. Dba La Frontera New Mexico, Inc. 504 W 29th St Tucson AZ 85713-3353 Ph: (520) 838-5600 | La Frontera Center Inc. Dba La Frontera New Mexico, Inc. 1400 Sudderth Dr Ruidoso NM 88345-6103 Ph: (575) 630-0571 |
NPI Number | 1669809406 |
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Provider Enumeration Date | 10/10/2013 |
Last Update Date | 10/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669809406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (New Mexico) | Primary |
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Region Ix Education Cooperative Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-2368 Fax: 505-257-2141 | |
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