Organization
ALT RECOVERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE LANZA (CEO)
(310) 503-3898
Entity
Organization
Contact information
Practice address
1141 MALL DR, SUITE E, LAS CRUCES, NM 88011-8194
(575) 522-0660
(575) 522-3151
Mailing address
1141 MALL DR, SUITE E, LAS CRUCES, NM 88011-8194
(575) 522-0660
(575) 522-3151
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QM2800X
Methadone Clinic
Primary
NM10059M
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42738229
—
NM
Enumeration date
06/18/2013
Last updated
05/13/2020
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