| NPI | 1396408100 |
|---|---|
| Doing Business As | RIO GRANDE HOSPITAL RECOVERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNY M GALLEGOS Admin Sec/Cred 719-850-4948 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-07-21 |