| Organization Name: | LA FRONTERA CENTER INC. DBA LA FRONTERA NEW MEXICO INC |
| NPI Number: | 1174951834 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL J RANIERI (PRESIDENT AND CEO) |
| Mailing Address: | 880 N. Main St Suite 3a Anthony |
| State: | NM US |
| Postal Code: | 88021 |
| Phone Number: | 5757882510 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |