| NPI | 1437521507 |
|---|---|
| Other Name | SHADOW MOUNTAIN RECOVERY, RIO RANCHO |
| Doing Business As | SHADOW MOUNTAIN RECOVERY, ALBUQUERQUE |
| Other Name | SHADOW MOUNTAIN RECOVERY, SANTA FE |
| Entity Type | Organization |
| Authorized Contact | JACKIE ELLIOTT Vice President 925-389-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2021-04-06 |