Rio Valle Behavioral Health Centre in Santa Teresa - Addiction Medicine
Rio Valle Behavioral Health Centre - NPI 1912061235
Rio Valle Behavioral Health Centre is a Addiction Medicine in Santa Teresa, New Mexico. Rio Valle Behavioral Health Centre practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Rio Valle Behavioral Health Centre is 1912061235. The last update date is 2013-11-04.
Rio Valle Behavioral Health Centre's current location address is 101 Livingston Loop,bldg C, Santa Teresa, New Mexico. You can contact this provider via phone number 5755892025 and fax number 5755892605. The mailing address for Rio Valle Behavioral Health Centre is 101 Livingston Loop,bldg C, Santa Teresa, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Rio Valle Behavioral Health Centre |
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Address | 101 Livingston Loop,bldg C, Santa Teresa, New Mexico |
Phone Number | 5755892025 |
Fax Number | 5755892605 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER,PRES |
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Authorized Official Name | Gazarov Aleksandr |
Credentials | M.D |
Telephone Number | 5755892025 |
NPI Number Detail
NPI Number | 1912061235 |
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Provider Enumeration Date | 2006-12-21 |
Last Updated Date | 2013-11-04 |
Provider Mailing Address Detail
Address | 101 Livingston Loop,bldg C |
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City | Santa Teresa |
State | New Mexico (NM) |
Post Code | 88008 |
Phone Number | 5755892025 |
Fax Number | 5755892605 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 2084A0401X |
Licence No | MD2004-0757 |
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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What is the unique provider identifier assigned to Rio Valle Behavioral Health Centre?
The Rio Valle Behavioral Health Centre has been issued the NPI (National Provider Identifier) 1912061235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Rio Valle Behavioral Health Centre located?
The Rio Valle Behavioral Health Centre is located at 101 Livingston Loop,Bldg C, Santa Teresa, NM 88008.
What is Rio Valle Behavioral Health Centre's area of expertise and its corresponding taxonomy classification?
The Rio Valle Behavioral Health Centre's field of specialization is Addiction Medicine, and it falls under the taxonomy code 2084A0401X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912061235 to Rio Valle Behavioral Health Centre?
The Centers for Medicare & Medicaid Services originally issued the 1912061235 to Rio Valle Behavioral Health Centre on 2006-12-21.
When was the information regarding Rio Valle Behavioral Health Centre, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rio Valle Behavioral Health Centre, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-11-04.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC