Whalio Doctors

NPI 1497518245

Creative Mind Therapy

Organisation Substance Abuse Rehabilitation Facility Taos, NM

Practice location

Address
522 Paseo del Pueblo Norte, Taos, NM 87571-5999
Phone
(630) 561-5826
Mailing address
3401 W Redfield Rd, Phoenix, AZ 85053-5642

Authorised official

Name
James Allen Coughlin
Title
Owner
Phone
(630) 561-5826

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1497518245
Entity type
Organization
NPI issued
5 Feb 2024
Record last updated
6 Jun 2024

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.