Rio Grande Alcoholism Treatment Program
NPI #1992140305 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1992140305
- Entity Type
- Organization
- Organization Name
- Rio Grande Alcoholism Treatment Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 30, 2013
- Last Updated
- Apr 30, 2013
Practice Location
- Address
- 2301 7TH ST
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-4966
- Phone
- (505) 579-4253
Authorized Official
- Name
- MR. LAWRENCE A MEDINA, MBA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (505) 579-4253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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