Taos Group Home, Inc.

NPI #1649310749 in Taos, New Mexico

Provider Information

NPI Number
1649310749
Entity Type
Organization
Organization Name
Taos Group Home, Inc.
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Feb 7, 2007
Last Updated
Apr 10, 2009

Practice Location

Address
314 DON FERNANDO ST
Address 2
POB 2360
City
Taos
ZIP Code
87571-5953
Phone
(575) 751-7037

Authorized Official

Name
MR. JOHN ANTHONY DEPAULA
Title
DIRECTOR OF OPERATIONS
Phone
(505) 751-7037

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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