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Taos Recovery, Inc.

Organization Active NPI Substance Abuse Rehabilitation Facility · El Prado, NM

NPI 1790791697 · NPPES record last updated May 2, 2019

Key facts

NPI
1790791697
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
License
5633 (NM)
Legal business name
TAOS RECOVERY, INC.
Practice address
259 Blueberry Hill Rd
El Prado, NM 87529-7305
Phone
(575) 758-5858
NPI assigned
Jul 31, 2006
Organization subpart
No

Authorized official

Name
Mr. Blake Browder
Title
President
Phone
(575) 758-5858

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2071272Vista Taos Renewal Center
259 Blueberry Hill Road, El Prado, NM 87529		Certificate of waiverJan 7, 2028

National Provider Directory

Locations

235 W Hickory St
Ste 201
Denton, TX 76201

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 5633 NM Yes

Addresses

Primary practice location

259 Blueberry Hill Rd
El Prado, NM 87529-7305

Mailing address

235 W Hickory St Ste 201
Denton, TX 76201-4122
Phone (940) 383-2843

Other names

  • Vista Taos Renewal Center Doing business as

Other providers in El Prado, NM

All providers in El Prado, NM · Substance Abuse Rehabilitation Facility in New Mexico

Sources for this page

Verify at the official NPI Registry.