Organization
SANTA FE RECOVERY CENTER INC
Active
Parent organization
SANTA FE RECOVERY CENTER INC
Other names
Four Corners Detox Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA FE RECOVERY CENTER INC
Authorized official
ELISA SCHLEUSENER (CREDENTIALING MANAGER)
(505) 847-5422
Entity
Organization
Contact information
Practice address
2105 HASLER VALLEY RD, GALLUP, NM 87301
(505) 471-9856
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82536716
—
NM
Enumeration date
10/05/2020
Last updated
03/04/2025
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