# IN GOD WE TRUST RECOVERY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578776738
- **Authorized official:** MR. TIM MYLET LSAA (DIRECTOR)
- **Authorized official phone:** (505) 751-1223

## Contact information

- **Practice address:** 4 ARCHULETA RD, RANCHOS DE TAOS, NM 87557-9756
- **Practice address phone:** (505) 751-1223
- **Practice address fax:** (505) 751-1223
- **Mailing address:** 4 ARCHULETA RD, RANCHOS DE TAOS, NM 87557-9756
- **Mailing address phone:** (505) 751-1223
- **Mailing address fax:** (505) 751-1223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0077511 | NM | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020