| Vida Entera Therapeutic Services | |
|
12 Sagebrush Way Ribera NM 87560-8014 | |
| (575) 421-0510 | |
| (855) 947-2816 |
| Full Name | Vida Entera Therapeutic Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Sagebrush Way, Ribera, New Mexico |
| Authorized Official Name and Position | Christopher David Aguilar (CO-OWNER) |
| Authorized Official Contact | 5754210510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Entera Therapeutic Services Po Box 397 Ribera NM 87560-0397 Ph: (575) 421-0510 | Vida Entera Therapeutic Services 12 Sagebrush Way Ribera NM 87560-8014 Ph: (575) 421-0510 |
| NPI Number | 1922714591 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 12/13/2025 |
| Certification Date | 12/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922714591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |