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WHOLE SELF RECOVERY NPI 1285109561


NPI Information

NPI: 1285109561
Provider Name: WHOLE SELF RECOVERY
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
509 W PUEBLO DR
ESPANOLA, NM
ZIP 87532
Phone: (506) 747-3368
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WHOLE SELF RECOVERY is a clinic center in Espanola, NM. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WHOLE SELF RECOVERY NPI is 1285109561. The provider is registered as an organization entity type.

The provider's business location address is:

509 W PUEBLO DR
ESPANOLA, NM
ZIP 87532-508
Phone: (506) 747-3368
Fax: (505) 367-0077

The provider's authorized official is Kartar Khalsa .
The authorized official title is Owner and has the following contact phone number (505) 920-6020.

The enumeration date for this NPI number is 10/12/2018 and was last updated on 10/12/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.