Organization
IN GOD WE TRUST RECOVERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM MYLET LSAA (DIRECTOR)
(505) 751-1223
Entity
Organization
Contact information
Practice address
4 ARCHULETA RD, RANCHOS DE TAOS, NM 87557-9756
(505) 751-1223
(505) 751-1223
Mailing address
4 ARCHULETA RD, RANCHOS DE TAOS, NM 87557-9756
(505) 751-1223
(505) 751-1223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0077511
NM
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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