Organization
STATE OF THE HEART RECOVERY
Active
Other names
State of the Heart Recovery Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WILLIAMS (VP RCM)
(520) 526-1028
Entity
Organization
Contact information
Practice address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
(505) 688-1228
Mailing address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73230545
—
NM
Enumeration date
10/31/2019
Last updated
03/19/2026
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