NPI 1437521507

Shadow Mountain Recovery LLC.

Organisation Substance Abuse Rehabilitation Facility Rio Rancho, NM

Practice location

Address: 1114 Villa Rd SE, Rio Rancho, NM 87124-3581
Phone: (800) 203-8249
Mailing address: PO Box 830525 Department # Sf 64, Birmingham, AL 35283-0525

Authorised official

Name: Jackie Elliott
Title: Vice President
Phone: (925) 389-8591

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in New Mexico →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1437521507
Entity type: Organization
NPI issued: 28 Oct 2015
Record last updated: 6 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.