Rocky Mountainyouth Corps
NPI #1669602348 in Taos, New Mexico
Provider Information
- NPI Number
- 1669602348
- Entity Type
- Organization
- Organization Name
- Rocky Mountainyouth Corps
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 16, 2009
- Last Updated
- Jul 16, 2009
Practice Location
- Address
- 1021 SALAZAR RD
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-8212
- Phone
- (575) 751-1420
Authorized Official
- Name
- MR. CARL TH COLONIUS
- Title
- EXECUITVE DIRECTOR
- Phone
- (575) 751-1420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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