Organization
PIVOT LLC
Active
Other names
Pivot Recovery Resources LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M HUDAK (ADMINISTRATIVE MANAGER)
(505) 551-0220
Entity
Organization
Contact information
Practice address
1620 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4411
(585) 202-9180
Mailing address
1620 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4411
(585) 202-9180
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
01/16/2020
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