San Cristobal Treatment Center
Organization Active NPI Substance Abuse Rehabilitation Facility · San Cristobal, NM
NPI 1336442854 · NPPES record last updated Mar 2, 2012
Key facts
- NPI
- 1336442854
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- SAN CRISTOBAL TREATMENT CENTER
- Practice address
- 176 Camino del Medio
San Cristobal, NM 87564 - Phone
- (575) 776-2524
- NPI assigned
- Dec 7, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- TRS BEHAVIORAL CARE, INC.
Authorized official
- Name
- George Joseph
- Title
- Ceo
- Phone
- (877) 627-4389
National Provider Directory
- Part of
- The Right Step of Louisiana
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
176 Camino del Medio
San Cristobal, NM 87564
Mailing address
902 W Alabama St
Houston, TX 77006-4604
Phone (877) 627-4389
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065335401 | Medicaid | TX |
Other names
- TRS Behavioral Care, Inc.
Other providers in San Cristobal, NM
- Jonathan Eric Hurteau
- Kiersten Figurski
- The Cocoon Counseling Collective LLC
- True North Healing and Therapy LLC
All providers in San Cristobal, NM · Substance Abuse Rehabilitation 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 Mar 2, 2012. 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.