Organization Name: | ALIVIANE, INC |
NPI Number: | 1003947359 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IVONNE TAPIA (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 7722 N Loop Dr Building 2, 3, 5 El Paso |
State: | TX US |
Postal Code: | 799152907 |
Phone Number: | 9157754638 |
Fax Number: | 9157783342 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |