Organization
ROADRUNNER RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COOPER (OWNER)
(505) 221-4009
Entity
Organization
Contact information
Practice address
505 13TH ST SW APT A, ALBUQUERQUE, NM 87102-2873
(505) 221-4009
Mailing address
505 13TH ST SW APT A, ALBUQUERQUE, NM 87102-2873
(505) 221-4009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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