Provider Demographics
NPI:1225509250
Name:RECOVERY HOUSE LLC
Entity Type:Organization
Organization Name:RECOVERY HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMEA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-832-7088
Mailing Address - Street 1:9101 WILSHIRE AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122
Mailing Address - Country:US
Mailing Address - Phone:505-832-7088
Mailing Address - Fax:505-832-7089
Practice Address - Street 1:9101 WILSHIRE AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122
Practice Address - Country:US
Practice Address - Phone:505-832-7088
Practice Address - Fax:505-832-7089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility