NPI | 1811769938 |
---|---|
Former Legal Business Name | MEANINGFUL RECOVERY OF NEW MEXICO, LLC |
Entity Type | Organization |
Authorized Contact | STEVEN J FISHBURN Doctor Of Preventive Medicine 505-550-6284 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-23 |