Santa Fe Recovery Center INC
Substance Abuse Rehabilitation Facility in Gallup, NM. Organization (NPI-2).
NPI number1033716972
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1033716972
- Entity type
- Organization (NPI-2)
- Legal business name
- Santa Fe Recovery Center INC
- Organization subpart
- Yes
- Enumeration date
- Oct 5, 2020
- Certification date
- Feb 28, 2025
- Last updated
- Mar 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Four Corners Detox Recovery (Other Name)
Practice location
2105 Hasler Valley RdGallup, NM 87301
Phone 505-471-9856
Mailing address
2504 Camino EntradaSanta Fe, NM 87507-4851
Phone 505-471-4985
Authorized official
Elisa Schleusener
Credentialing Manager
5058475422
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