| Rocky Mountainyouth Corps | |
|
1021 Salazar Rd Taos NM 87571-8212 | |
| (575) 751-1420 | |
| (575) 751-1136 |
| Full Name | Rocky Mountainyouth Corps |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1021 Salazar Rd, Taos, New Mexico |
| Authorized Official Name and Position | Carl Th Colonius (EXECUITVE DIRECTOR) |
| Authorized Official Contact | 5757511420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountainyouth Corps Po Box 1960 1021 Salazar Road Ranchos De Taos NM 87557-1960 Ph: (575) 751-1420 | Rocky Mountainyouth Corps 1021 Salazar Rd Taos NM 87571-8212 Ph: (575) 751-1420 |
| NPI Number | 1669602348 |
|---|---|
| Provider Enumeration Date | 07/16/2009 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669602348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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