Organization
TAOS RECOVERY, INC.
Active
Other names
Vista Taos Renewal Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE BROWDER (PRESIDENT)
(575) 758-5858
Entity
Organization
Contact information
Practice address
259 BLUEBERRY HILL RD, EL PRADO, NM 87529-7305
(575) 758-5858
Mailing address
235 W HICKORY ST STE 201, DENTON, TX 76201-4122
(940) 383-2843
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
5633
NM
Other
Enumeration date
07/31/2006
Last updated
05/02/2019
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