# INNOVATIVE RECOVERY OF NEW MEXICO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316492564
- **Authorized official:** MR. LEE KING LADAC (CEO)
- **Authorized official phone:** (575) 522-2224

## Contact information

- **Practice address:** 880 S TELSHOR BLVD STE 110, LAS CRUCES, NM 88011-8682
- **Practice address phone:** (575) 522-2224
- **Practice address fax:** (575) 208-7253
- **Mailing address:** PO BOX 1078, LAS CRUCES, NM 88004-1078
- **Mailing address phone:** (575) 522-2224
- **Mailing address fax:** (575) 208-7253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 4878 | NM | Yes |

## Other

- **Enumeration date:** 08/17/2016
- **Last updated:** 08/17/2016