NPI 1497518245
Creative Mind Therapy
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
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.