NPI 1144013103
Lifehouse Vista Taos
Practice location
- Address
- 259 Blueberry Hill Rd, El Prado, NM 87529-7305
- Phone
- (575) 758-5858
- Mailing address
- PO Box 3141, Carlsbad, NM 88221-3141
Authorised official
- Name
- Kimberly Susan Rogge-Rogers
- Title
- Executive Administrator
- Phone
- (575) 302-8304
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1144013103
- Entity type
- Organization
- NPI issued
- 23 May 2025
- Record last updated
- 15 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.