Organization
CHOICE RECOVERY PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA ANN NINO (GENERAL MANAGER)
(505) 525-9649
Entity
Organization
Contact information
Practice address
11401 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2435
(505) 203-1789
(866) 598-3722
Mailing address
300 MENAUL BLVD NW STE A, ALBUQUERQUE, NM 87107-1347
(505) 203-1789
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2022
Last updated
03/14/2024
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