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Shadow Mountain Llc.
Substance Abuse Rehabilitation Facility in Taos, New Mexico
NPI 1295154888

Shadow Mountain Llc. is a Substance Abuse Rehabilitation Facility based in Birmingham, NM. Shadow Mountain Llc. practices in Taos, NM. The NPI Number for Shadow Mountain Llc. is 1295154888 and holds a License No. STATE WAIVER (New Mexico).

The current practice location address for Shadow Mountain Llc. is 250 Shadow Mountain Rd., Taos, NM and can be reached out via phone at 575-751-4851.

Location: 250 Shadow Mountain Rd., Taos, NM, 35283-0525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295154888
Provider Name
Shadow Mountain Llc.
Credential
Provider Entity Type
Organization
Address
250 Shadow Mountain Rd., Taos, NM, 35283-0525
Phone Number
575-751-4851
Fax Number
Provider Enumeration Date
04/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
250 Shadow Mountain Rd.
City
Taos
State
New Mexico
Zip
87571
Phone Number
575-751-4851
Fax Number
person
Provider Business Mailing Address Details
Address
250 Shadow Mountain Rd.
City
Taos
State
New Mexico
Zip
87571
Phone Number
575-751-4851
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
STATE WAIVER (New Mexico)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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