NPI 1194924928
Rio Grande Alcoholism Treatment Center Incorporated
Practice location
- Address
- 105 Paseo del Canon W STE a, Taos, NM 87571-6943
- Phone
- (575) 737-5533
- Fax
- (575) 737-5534
Authorised official
- Name
- Lawrence Medina
- Title
- Executive Director
- Phone
- (575) 737-5533
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1194924928
- Entity type
- Organization
- NPI issued
- 12 Jul 2007
- Record last updated
- 9 Mar 2025
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.