Shadow Mountain LLC
Shadow Mountain LLC is a Substance Abuse Rehabilitation Facility in Taos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2014.
- Licensed in
- NM
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
250 Shadow Mountain RdTaos, NM 87571
Phone: (575) 751-4851
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence STATE WAIVER (NM) |
|---|
Record details
| NPI number | 1295154888 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jackie Holub — Vice President · (925) 389-8591 |
| Other names | Shadow Mountain Recovery, Taos |
| NPI enumerated | April 10, 2014 |
| Last updated in NPPES | May 10, 2017 |
| Mailing address | Po Box 830525, Department # Sf 57, Birmingham, AL 35283-0525 |
Other providers in Taos
-
Creative Mind Therapy
522 Paseo Del Pueblo Norte, Taos, NM 87571-5999 · (630) 561-5826
-
Rio Grande Alcoholism Treatment Center Incorporated
105 Paseo Del Canon W Ste A, Taos, NM 87571-6943 · (575) 737-5533