Whalio Doctors

NPI 1548452949

Trust in God Rehabilitation

Organisation Substance Abuse Rehabilitation Facility El Prado, NM

Practice location

Address
489 Blueberry Hill Road, El Prado, NM 87529
Phone
(575) 758-3879
Mailing address
P.O. Box 6499, Taos, NM 87511

Authorised official

Name
Fred Gonzales
Title
Board President
Phone
(575) 758-3879

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence CU00010276 (NM)
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence M06217 (NM)

Registry record

NPI
1548452949
Entity type
Organization
NPI issued
10 Aug 2007
Record last updated
20 Aug 2008

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.