Organization
RIO GRANDE ALCOHOLISM TREATMENT PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE A. MEDINA MBA (EXECUTIVE DIRECTOR)
(505) 470-2887
Entity
Organization
Contact information
Practice address
225 GRAND AVE, LAS VEGAS, NM 87701-3832
(575) 737-5533
Mailing address
105 PASEO DEL CANON W STE A, TAOS, NM 87571-6943
(575) 737-5533
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YA0400X
NM
Other
Enumeration date
09/21/2011
Last updated
05/22/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up