Organization
STATE OF THE HEART RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL THOMAS CHAVEZ LPCC (EXECUTIVE DIRECTOR)
(505) 688-1228
Entity
Organization
Contact information
Practice address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
(505) 308-8296
Mailing address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
(505) 308-8296
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
03/26/2021
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