| Duke City Recovery Toolbox Llc | |
|
912 1st St Nw Albuquerque NM 87102-2355 | |
| (505) 224-9777 | |
| (505) 224-9779 |
| Full Name | Duke City Recovery Toolbox Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 912 1st St Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | James Herman Widner (DIRECTOR) |
| Authorized Official Contact | 5052249777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duke City Recovery Toolbox Llc 912 1st St Nw Albuquerque NM 87102-2355 Ph: (505) 224-9777 | Duke City Recovery Toolbox Llc 912 1st St Nw Albuquerque NM 87102-2355 Ph: (505) 224-9777 |
| NPI Number | 1780948885 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 1557799137 |
|---|---|
| Medicare Enrollment ID | O20200313000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780948885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 01333671 (New Mexico) | Primary |
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