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Organization
STATE OF THE HEART RECOVERY
Active
Organization
STATE OF THE HEART RECOVERY
Active
Other names
State of the Heart Recovery Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WILLIAMS (VP RCM)
(520) 526-1028
Entity
Organization
Contact information
Practice address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
(505) 688-1228
Mailing address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73230545
—
NM
Enumeration date
10/31/2019
Last updated
03/19/2026
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