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HEALING ADDICTION IN OUR COMMUNITY NPI 1275910101


NPI Information

NPI: 1275910101
Provider Name: HEALING ADDICTION IN OUR COMMUNITY

Doing Business As: SERENITY MESA RECOVERY CENTER

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

CLIA Number: 32D2187717

Address:
3701 CONDERSHIRE DR SW
ALBUQUERQUE, NM
ZIP 87121
Phone: (505) 363-9684
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HEALING ADDICTION IN OUR COMMUNITY is a substance abuse treatment and children substance abuse rehabilitation facility in Albuquerque, NM. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. HEALING ADDICTION IN OUR COMMUNITY NPI is 1275910101. The provider is registered as an organization entity type.
The provider Is Doing Business As Serenity Mesa Recovery Center.

The provider's business location address is:

3701 CONDERSHIRE DR SW
ALBUQUERQUE, NM
ZIP 87121-253
Phone: (505) 363-9684

The provider's authorized official is Jennifer Weiss-burke .
The authorized official title is Executive Director and has the following contact phone number (505) 363-9684.

The CLIA number assigned to this NPI record is 32D2187717 - other - transitional youth center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 4/29/2015.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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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