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Organization

MESA LUNA RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY HOLLAND LCSW (OWNER)
(505) 261-8715
Entity
Organization

Contact information

Practice address
620 ROMA AVE NW, ALBUQUERQUE, NM 87102-2037
(505) 362-0758
Mailing address
620 ROMA AVE NW, ALBUQUERQUE, NM 87102-2037
(505) 243-5762

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/11/2025
Last updated
01/27/2026
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