Alt Recovery Group LLC
Clinic/Center, Methadone Clinic in Las Cruces, NM. Organization (NPI-2).
NPI number1306285820
StatusActive
Last updated in NPPESMay 13, 2020
Details
- NPI
- 1306285820
- Entity type
- Organization (NPI-2)
- Legal business name
- Alt Recovery Group LLC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2013
- Certification date
- May 13, 2020
- Last updated
- May 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | NM10059M | NM | Yes |
| 207QA0401X | Family Medicine, Addiction Medicine | – | – |
Practice location
1141 Mall DrSuite E
Las Cruces, NM 88011-8194
Phone 575-522-0660 · Fax 575-522-3151
Mailing address
1141 Mall DrSuite E
Las Cruces, NM 88011-8194
Phone 575-522-0660 · Fax 575-522-3151
Authorized official
Steve Lanza
Ceo
3105033898
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