| Innovative Recovery Services Llc | |
|
2051 Mars Ave Apt D5 Las Cruces NM 88012-7712 | |
| (575) 915-8367 | |
| Not Available |
| Full Name | Innovative Recovery Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2051 Mars Ave, Las Cruces, New Mexico |
| Authorized Official Name and Position | Juan Mendoza (LADAC, OWNER) |
| Authorized Official Contact | 5759158367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Recovery Services Llc 2051 Mars Ave Apt D5 Las Cruces NM 88012-7712 Ph: (575) 915-8367 | Innovative Recovery Services Llc 2051 Mars Ave Apt D5 Las Cruces NM 88012-7712 Ph: (575) 915-8367 |
| NPI Number | 1871033167 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871033167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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