OrganizationFernandez Community Center, LlcCommunity/Behavioral HealthAgenciesPractice Address8522 Six Forks Rd Ste 102, Raleigh, NC 27615-3098(919) 900-7438PECOS EnrollmentBased on the most recent information from CMS, provider Fernandez Community Center, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1033465075Provider TypeOrganizationFull NameFernandez Community Center, LlcSubpartNoEnumeration Date7/27/2012Last Updated7/21/2015Contact InformationPractice LocationPractice Address8522 Six Forks Rd Ste 102, Raleigh, NC 27615-3098Phone(919) 900-7438Fax(919) 900-7576Mailing LocationMailing Address8376 Six Forks Rd Ste 104, Raleigh, NC 27615-5095Phone(919) 900-7438Fax(919) 900-7576Authorized OfficialNameFernandez, Yanet A (Executive Director)Phone(919) 449-1084Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer