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Organization
TAOS GROUP HOME, INC.
Active
Organization
TAOS GROUP HOME, INC.
Active
Other names
Casa de Corazon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANTHONY DEPAULA (DIRECTOR OF OPERATIONS)
(505) 751-7037
Entity
Organization
Contact information
Practice address
314 DON FERNANDO ST, POB 2360, TAOS, NM 87571-5953
(575) 751-7037
(575) 751-3010
Mailing address
314 DON FERNANDO ST, TAOS, NM 87571-5953
(575) 751-7037
(575) 751-3010
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
0752
NM
Other
Enumeration date
02/07/2007
Last updated
04/10/2009
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