Provider Demographics
NPI:1508458142
Name:QUENAR INC
Entity Type:Organization
Organization Name:QUENAR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:ANDRICUS
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:ICGOS, CAMS2, MATS,
Authorized Official - Phone:470-553-8107
Mailing Address - Street 1:245 CHAPEL STATION LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-7949
Mailing Address - Country:US
Mailing Address - Phone:470-553-8107
Mailing Address - Fax:
Practice Address - Street 1:245 CHAPEL STATION LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-7949
Practice Address - Country:US
Practice Address - Phone:470-553-8107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health