Revive Recovery Nm
Revive Recovery Nm is an Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2325 San Pedro Dr NE Ste 2AAlbuquerque, NM 87110-4121
Phone: (505) 785-4737
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1700630050 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Vigil — Owner · (505) 785-4737 |
| NPI enumerated | April 15, 2024 |
| Last updated in NPPES | April 15, 2024 |
| Certification date | April 13, 2024 |
| Mailing address | 12309 Conejo Rd Ne, Albuquerque, NM 87123-1517 |
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