| Santa Fe Recovery Center Inc | |
|
2504 Camino Entrada Santa Fe NM 87507-4851 | |
| (505) 471-4985 | |
| (505) 471-6084 |
| Full Name | Santa Fe Recovery Center Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2504 Camino Entrada, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lou Duran (CREDENTIALING AND BILLING) |
| Authorized Official Contact | 5052703966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Recovery Center Inc 2504 Camino Entrada Santa Fe NM 87507-4851 Ph: (505) 471-4985 | Santa Fe Recovery Center Inc 2504 Camino Entrada Santa Fe NM 87507-4851 Ph: (505) 471-4985 |
| NPI Number | 1447265160 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 11/25/2023 |
| Certification Date | 11/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447265160 | NPI | - | NPPES |
| 78172543 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 5382 (New Mexico) | Primary |
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