Creative Mind Therapy
NPI #1497518245 in Taos, New Mexico
Provider Information
- NPI Number
- 1497518245
- Entity Type
- Organization
- Organization Name
- Creative Mind Therapy
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 5, 2024
- Last Updated
- Jun 6, 2024
Practice Location
- Address
- 522 PASEO DEL PUEBLO NORTE
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-5999
- Phone
- (630) 561-5826
Authorized Official
- Name
- JAMES ALLEN COUGHLIN
- Title
- OWNER
- Phone
- (630) 561-5826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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