Provider Demographics
NPI:1376754556
Name:RECOVERY BASED SOLUTIONS, LLC
Entity Type:Organization
Organization Name:RECOVERY BASED SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:FARIES
Authorized Official - Suffix:
Authorized Official - Credentials:LADAC
Authorized Official - Phone:505-830-6003
Mailing Address - Street 1:49 LITTLE CLOUD RD
Mailing Address - Street 2:
Mailing Address - City:MORIARTY
Mailing Address - State:NM
Mailing Address - Zip Code:87035-5200
Mailing Address - Country:US
Mailing Address - Phone:505-832-5211
Mailing Address - Fax:
Practice Address - Street 1:3200 CARLISLE BLVD NE
Practice Address - Street 2:SUITE 228
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-1600
Practice Address - Country:US
Practice Address - Phone:505-830-6003
Practice Address - Fax:505-889-4598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0103721101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty