NPI 1952973505

Shadow Mountain Recovery LLC.

Organisation Substance Abuse Rehabilitation Facility Rio Rancho, NM

Practice location

Address: 1550 Bridger Rd NE, Rio Rancho, NM 87144-1579
Phone: (800) 203-8249

Authorised official

Name: Jackie Holub
Title: Vp, Operations
Phone: (925) 389-8591

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in New Mexico →

Registry record

NPI: 1952973505
Entity type: Organization
NPI issued: 13 Jul 2021
Record last updated: 13 Jul 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.