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Organization
RECOVERY SERVICES OF NEW MEXICO, LLC
Active
Organization
RECOVERY SERVICES OF NEW MEXICO, LLC
Active
Other names
MedMark Treatment Centers Roswell
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1107 S ATKINSON AVE, ROSWELL, NM 88203-7154
(575) 578-4826
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
CL00010987
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227335
—
NM
Enumeration date
05/22/2015
Last updated
07/29/2024
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