| NPI | 1952973505 |
|---|---|
| Other Name | SHADOW MOUNTAIN RECOVERY RIO RANCHO |
| Entity Type | Organization |
| Authorized Contact | JACKIE HOLUB VP, Operations 925-389-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |