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SANTA FE RECOVERY CTR DBA SANTA FE RECOVERY CTR NPI 1487093753


NPI Information

NPI: 1487093753
Provider Name: SANTA FE RECOVERY CTR DBA SANTA FE RECOVERY CTR

Other Name: SANTA FE RECOVERY CENTER WOMEN'S RESIDENTIAL

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
4100 LUCIA LN
SANTA FE, NM
ZIP 87507
Phone: (505) 471-4985
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SANTA FE RECOVERY CTR DBA SANTA FE RECOVERY CTR 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 CTR DBA SANTA FE RECOVERY CTR NPI is 1487093753. The provider is registered as an organization entity type.
The provider Other Name Is Santa Fe Recovery Center Women's Residential.

The provider's business location address is:

4100 LUCIA LN
SANTA FE, NM
ZIP 87507-000
Phone: (505) 471-4985
Fax: (505) 471-6084

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

The enumeration date for this NPI number is 6/20/2013 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 FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142155037MEDICAIDNEW MEXICO

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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