OrganizationFernandez Familia ClinicCommunity/Behavioral HealthAgenciesPractice Address312 W Millbrook Rd Ste 121, Raleigh, NC 27609-4398(919) 926-7503PECOS EnrollmentBased on the most recent information from CMS, provider Fernandez Familia Clinic 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 2 days ago.Profile DetailsProvider ID1316225501Provider TypeOrganizationFull NameFernandez Familia ClinicSubpartNoEnumeration Date7/22/2011Last Updated7/22/2011Contact InformationPractice LocationPractice Address312 W Millbrook Rd Ste 121, Raleigh, NC 27609-4398Phone(919) 926-7503FaxUnlisted FaxMailing LocationMailing Address312 W Millbrook Rd Suite 121, Raleigh, NC 27609Phone(919) 926-7503FaxUnlisted FaxAuthorized OfficialNameFernandez, Yanet (Excutive Director)Phone(646) 244-9931Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer