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Organization

RECOVERY SERVICES OF NEW MEXICO, LLC

Active
Other names
MedMark Treatment Centers Five Points
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization

Contact information

Practice address
1528 FIVE POINTS RD SW, ALBUQUERQUE, NM 87105-3014
(505) 242-6919
(505) 242-6929
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25392
COLA
NM
01
32D2076684
CLIA
NM
05
677558
NM
Enumeration date
08/19/2009
Last updated
07/29/2024
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