Provider Type Icon

RECOVERY SERVICES OF NEW MEXICO MDC LLC NPI 1598015356


NPI Information

NPI: 1598015356
Provider Name: RECOVERY SERVICES OF NEW MEXICO MDC, LLC

Doing Business As: RECOVERY SERVICES OF NEW MEXICO MDC

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 32D2094253

Address:
100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM
ZIP 87151
Phone: (505) 833-4491
Get Directions

RECOVERY SERVICES OF NEW MEXICO MDC, LLC is a methadone clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. RECOVERY SERVICES OF NEW MEXICO MDC, LLC NPI is 1598015356. The provider is registered as an organization entity type.
The provider Is Doing Business As Recovery Services Of New Mexico Mdc.

The provider's business location address is:

100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM
ZIP 87151-000
Phone: (505) 833-4491
Fax: (505) 833-4492

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 32D2094253 - other - treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 2/13/2024.


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
1261QM2800XClinic/CenterMethadoneCS00214985NEW 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

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.