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RIO GRANDE ALCOHOLISM TREATMENT CENTER INCORPORATED
NPI 1194924928
Substance Abuse Rehabilitation Facility in Taos, NM

Active since July 12, 2007
105 PASEO DEL CANON W STE A, TAOS, NM 87571(575) 737-5533(575) 737-5534 Get Directions Write a Review

NPPES record last updated: March 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2025, Mar 17, 2021, Mar 16, 2020 and 1 more (4 updates tracked since 2018).

About Rio Grande Alcoholism Treatment Center Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIO GRANDE ALCOHOLISM TREATMENT CENTER INCORPORATED (NPI 1194924928), doing business as Rio Grande Alcoholism Treatment Program, Inc., is a healthcare organization registered as a substance abuse rehabilitation facility in Taos, New Mexico and active in the NPI registry since July 2007. The organization maintains 2 additional practice locations and lists Lawrence Medina, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194924928
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRIO GRANDE ALCOHOLISM TREATMENT CENTER INCORPORATED
Location Address105 PASEO DEL CANON W STE ATaos, NM 87571-6943
Mailing Address105 Paseo Del Canon W Ste ATaos, NM 87571-6943 · (575) 737-5533 · Fax (575) 737-5534
Phone(575) 737-5533
Fax(575) 737-5534
Organization SubpartNo
Authorized OfficialLawrence MedinaExecutive Director · (575) 737-5533
Enumeration DateJuly 12, 2007
Last NPPES UpdateMarch 9, 20254 updates tracked since enumeration
NPPES CertifiedMarch 9, 2025
✔ NPI 1194924928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NM · 5517
Definition
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.
105 PASEO DEL CANON W STE A, Taos, NM 87571
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Other Names 1

Doing Business AsRio Grande Alcoholism Treatment Program, Inc.

Secondary Practice Locations 2

Location 12301 7th St Ste ALas Vegas, NM 87701-4966 · Phone (505) 454-9611
Location 2220 Albright StTaos, NM 87571-6312 · Phone (575) 213-6002

Other Identifiers 1

Medicaid83774556NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELICA PACHECO
Case Manager/Care Coordinator
105 PASEO DEL CANON W STE A
TAOS, NM 87571
Taos County (575) 737-5533
KIERSTEN ANN FIGURSKI LM, CPM
Counselor (Mental Health)
105 PASEO DEL CANON W STE A
TAOS, NM 87571
Taos County (575) 758-5857
NAKEESHA HAELEN LCSW
Social Worker (Clinical)
105 PASEO DEL CANON W STE A
TAOS, NM 87571
Taos County (575) 758-5857
CHRISTY MASCARENAS CM
Case Manager/Care Coordinator
105 PASEO DEL CANON W STE A
TAOS, NM 87571
Taos County (575) 758-5857
ADAM GONZALES
Peer Specialist
105 PASEO DEL CANON W STE A
TAOS, NM 87571
Taos County (575) 737-5533
MONICA FREDRICKSON
Counselor (Addiction (Substance Use Disorder))
105 PASEO DEL CANON W STE A
TAOS, NM 87571
Taos County (575) 737-5533
MAX JIMENEZ
Community Health Worker
105 PASEO DEL CANON W STE A
TAOS, NM 87571
Taos County (575) 737-5533
HEIDI MCJUNKINS CM
Case Manager/Care Coordinator
105 PASEO DEL CANON W STE A
TAOS, NM 87571
Taos County (575) 758-5857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rio Grande Alcoholism Treatment Center Incorporated's NPI number?

The NPI number for Rio Grande Alcoholism Treatment Center Incorporated is 1194924928. It was assigned to this organization in the NPPES registry on July 12, 2007. The provider is doing business as Rio Grande Alcoholism Treatment Program, Inc..

Where is Rio Grande Alcoholism Treatment Center Incorporated located?

Rio Grande Alcoholism Treatment Center Incorporated is located at 105 Paseo Del Canon W Ste A, Taos, NM 87571. The listed phone number is (575) 737-5533.

What is Rio Grande Alcoholism Treatment Center Incorporated's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

What insurance does Rio Grande Alcoholism Treatment Center Incorporated accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Rio Grande Alcoholism Treatment Center Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rio Grande Alcoholism Treatment Center Incorporated was last updated on March 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.