SHADOW MOUNTAIN LLC. is a substance abuse rehabilitation facility in Taos, NM. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SHADOW MOUNTAIN LLC. NPI is 1295154888. The provider is registered as an organization entity type.
The provider Is Doing Business As Shadow Mountain Recovery, Taos.
The provider's business location address is:
250 SHADOW MOUNTAIN RD.
TAOS, NM
ZIP 87571
Phone: (575) 751-4851
The provider's authorized official is Jackie Holub .
The authorized official title is Vice President and has the following contact phone number (925) 389-8591.
The CLIA number assigned to this NPI record is 32D2067173 - other - behavioral health facilit with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/10/2014 and was last updated on 5/10/2017.