| Choice Recovery Path Llc | |
|
11401 Menaul Blvd Ne Albuquerque NM 87112-2435 | |
| (505) 203-1789 | |
| (866) 598-3722 |
| Full Name | Choice Recovery Path Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11401 Menaul Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Leticia Ann Nino (GENERAL MANAGER) |
| Authorized Official Contact | 5055259649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Recovery Path Llc 300 Menaul Blvd Nw Ste A Albuquerque NM 87107-1347 Ph: (505) 203-1789 | Choice Recovery Path Llc 11401 Menaul Blvd Ne Albuquerque NM 87112-2435 Ph: (505) 203-1789 |
| NPI Number | 1346981651 |
|---|---|
| Provider Enumeration Date | 04/02/2022 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 7012389778 |
|---|---|
| Medicare Enrollment ID | O20231026000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346981651 | NPI | - | NPPES |
| Provider Name | Janelle R Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063703262 PECOS PAC ID: 3476787441 Enrollment ID: I20140716002623 |
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