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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADOW MOUNTAIN LLC.

Active Organization

SHADOW MOUNTAIN LLC. is a Substance Abuse Rehabilitation Facility organization located in TAOS, New Mexico. NPI 1295154888 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · TAOS, NM

Registration Details

NPI Number
1295154888
Provider Type
Organization
NPI Issued
Apr 10, 2014 (12.379248092207 yrs)
Last Updated
May 10, 2017
License
STATE WAIVER (NM)

Practice Information

Address
250 SHADOW MOUNTAIN RD.
TAOS, NM, 87571
Browse NM providers · Browse ZIP 87571
Phone
5757514851
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Organizations in TAOS, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.