| Innovative Recovery Of New Mexico | |
|
880 S Telshor Blvd Ste 110 Las Cruces NM 88011-8682 | |
| (575) 522-2224 | |
| (575) 208-7253 |
| Full Name | Innovative Recovery Of New Mexico |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 880 S Telshor Blvd Ste 110, Las Cruces, New Mexico |
| Authorized Official Name and Position | Lee King (CEO) |
| Authorized Official Contact | 5755222224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Recovery Of New Mexico Po Box 1078 Las Cruces NM 88004-1078 Ph: (575) 522-2224 | Innovative Recovery Of New Mexico 880 S Telshor Blvd Ste 110 Las Cruces NM 88011-8682 Ph: (575) 522-2224 |
| NPI Number | 1316492564 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 08/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316492564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4878 (New Mexico) | Primary |
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