Sheltered Living, Inc.
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Santa Fe, NM
NPI 1063563385 · NPPES record last updated Apr 22, 2021
Key facts
- NPI
- 1063563385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- 2101 (NM)
- Legal business name
- SHELTERED LIVING, INC.
- Practice address
- 25 Vista Point Rd
Santa Fe, NM 87508-7800 - Phone
- (800) 989-7406
- Fax
- (505) 820-8161
- NPI assigned
- Jan 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Christopher Howard
- Title
- Vice President & Secretary
- Phone
- (615) 861-6000
Practitioners 1
-
Roxana G Raicu, M.D.
National Provider Directory
Locations
25 Vista Point Rd
Santa Fe, NM 87508
Phone (800) 989-7406
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 2101 | NM | Yes |
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
25 Vista Point Rd
Santa Fe, NM 87508-7800
Mailing address
PO Box 6758
Santa Fe, NM 87502-6758
Phone (800) 989-7406
Other names
- Life Healing Center of Santa Fe
Other providers in Santa Fe, NM
- Leora Ellen Shein
- Alisha Nicole Shelbourn
- Phoebe Wakerobin Sheldon Young
- Tricia Ann Shell
- Susan Shelley
- Kellie Shelton
- Diane Shenk
- Blair W Shepard
- Lori Diane Shepard
- John Sherdon
All providers in Santa Fe, NM · Mental Illness Community Based Residential Treatment Facility in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.