Shadow Mountain Recovery Llc.
NPI #1932771581 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1932771581
- Entity Type
- Organization
- Organization Name
- Shadow Mountain Recovery Llc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 13, 2021
- Last Updated
- Jul 13, 2021
Practice Location
- Address
- 31 CALLE DEL BARRIO
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-1437
- Phone
- (800) 203-8249
Authorized Official
- Name
- JACKIE HOLUB
- Title
- VP, OPERATIONS
- Phone
- (925) 389-8591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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