Revive Recovery Nm
LBN: Revive Recovery Nm
Revive Recovery Nm is an health care organization with primary practice located at 2325 San Pedro Dr Ne Ste 2A , Albuquerque NM 87110-4121. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty.
Revive Recovery Nm can be contacted via phone (505) 785-4737, or through Vigil, Joseph G via phone (505) 785-4737.
Contact Information
Primary practice address
2325 San Pedro Dr Ne Ste 2A
Albuquerque NM 87110-4121
Phone: (505) 785-4737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1700630050 |
|---|---|
| LBN Legal business name | Revive Recovery Nm |
| DBA Doing business as | |
| Authorized official | Vigil, Joseph G LSAA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 15th, 2024 |
| Last updated | Apr 15th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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