Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shadow Mountain LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1760621007

Shadow Mountain LLC is a Substance Abuse Rehabilitation Facility in Albuquerque, New Mexico. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5400 Gibson Blvd S E 3rd Fl
Albuquerque, NM 87109
Phone: (505) 296-8184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1760621007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Holub — Managing Director · (925) 389-8591
Other names Shadow Mountain Recovery, Albuquerque
NPI enumeratedFebruary 10, 2009
Last updated in NPPESOctober 28, 2015
Mailing address5400 Gibson Blvd. S.E, 3rd Floor, Albuquerque, NM 87109

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