Recovery Services Of Southern New Mexico, Llc

NPI 1194104141 - Clinic/Center - 261QM2800X

NPI Details
NPI 1194104141
Enumeration Date 05/22/2015
Last Updated 10/19/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name EVAN D. EVAN
Position MEDICAL DIRECTOR
Phone (575) 578-4826
Fax
Practice Location
1107 S ATKINSON AVE
ROSWELL NM, 88203-7154, US
Phone (575) 578-4826
Fax
Business Location
PO BOX 50279
ALBUQUERQUE NM, 87181-0279, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM2800X
License State New Mexico
License Number CL00010987
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According to our database, Recovery Services Of Southern New Mexico, Llc NPI is 1194104141, taxonomy code is 261QM2800X and license number is CL00010987, license state is located at New Mexico. Recovery Services Of Southern New Mexico, Llc physically located at 1107 S Atkinson Ave, Roswell NM, 88203-7154. NPI Number 1033115704 has the healthcare provider type.

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1194104141 NPI number is provided on an as is basis without warranty of any kind. 1194104141 is maintained by the National Plan & Provider Enumeration System. The contents of Recovery Services Of Southern New Mexico, Llc are for informational purposes only.