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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 Five Points
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1528 FIVE POINTS RD SW, ALBUQUERQUE, NM 87105-3014
(505) 242-6919
(505) 242-6929
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25392
COLA
NM
01
—
32D2076684
CLIA
NM
05
—
677558
—
NM
Enumeration date
08/19/2009
Last updated
07/29/2024
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