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SANTA FE RECOVERY CENTER DBA SANTA FE RECOVERY CENTER NPI 1578995676


NPI Information

NPI: 1578995676
Provider Name: SANTA FE RECOVERY CENTER DBA SANTA FE RECOVERY CENTER

Other Name: SANTA FE RECOVERY CENTER DETOX

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 32D2204784

Address:
2052 GALISTEO ST
SANTA FE, NM
ZIP 87505
Phone: (505) 471-4985
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SANTA FE RECOVERY CENTER DBA SANTA FE RECOVERY CENTER is a substance abuse rehabilitation facility in Santa Fe, NM. The provider is 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. SANTA FE RECOVERY CENTER DBA SANTA FE RECOVERY CENTER NPI is 1578995676. The provider is registered as an organization entity type.
The provider Other Name Is Santa Fe Recovery Center Detox.

The provider's business location address is:

2052 GALISTEO ST
SANTA FE, NM
ZIP 87505-100
Phone: (505) 471-4985
Fax: (505) 471-6084

The provider's authorized official is Lou Duran .
The authorized official title is Credentialer and has the following contact phone number (505) 270-3966.

The CLIA number assigned to this NPI record is 32D2204784 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2013 and was last updated on 11/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility5382NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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