Santa Fe Recovery Center INC
Community/Behavioral Health in Gallup, NM. Organization (NPI-2).
NPI number1881429652
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1881429652
- Entity type
- Organization (NPI-2)
- Legal business name
- Santa Fe Recovery Center INC
- Organization subpart
- Yes
- Enumeration date
- Sep 3, 2024
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Four Corners Recovery Detox (Doing Business As)
Practice location
2022 E Aztec AveGallup, NM 87301-4804
Phone 505-471-4985
Mailing address
2504 Camino EntradaSanta Fe, NM 87507-4851
Phone 505-847-5422
Authorized official
Elisa Schleusener
Hr
5058475422
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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