Organization
INNOVATIVE RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN MENDOZA (LADAC, OWNER)
(575) 915-8367
Entity
Organization
Contact information
Practice address
2051 MARS AVE, APT D5, LAS CRUCES, NM 88012-7712
(575) 915-8367
Mailing address
2051 MARS AVE, APT D5, LAS CRUCES, NM 88012-7712
(575) 915-8367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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