| San Cristobal Treatment Center | |
|
176 Camino Del Medio San Cristobal NM 87564 | |
| (575) 776-2524 | |
| Not Available |
| Full Name | San Cristobal Treatment Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 176 Camino Del Medio, San Cristobal, New Mexico |
| Authorized Official Name and Position | George Joseph (CEO) |
| Authorized Official Contact | 8776274389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Cristobal Treatment Center 902 W Alabama St Houston TX 77006-4604 Ph: (877) 627-4389 | San Cristobal Treatment Center 176 Camino Del Medio San Cristobal NM 87564 Ph: (575) 776-2524 |
| NPI Number | 1336442854 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 03/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336442854 | NPI | - | NPPES |
| 065335401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |