Provider Demographics
NPI:1386210086
Name:RECOVERY SERVICES OF NEW MEXICO
Entity Type:Organization
Organization Name:RECOVERY SERVICES OF NEW MEXICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISPENSING
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVES ARMENDARIZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:505-908-4033
Mailing Address - Street 1:2443 STATE HIGHWAY 47
Mailing Address - Street 2:
Mailing Address - City:BELEN
Mailing Address - State:NM
Mailing Address - Zip Code:87002-5930
Mailing Address - Country:US
Mailing Address - Phone:505-861-2066
Mailing Address - Fax:
Practice Address - Street 1:2443 STATE HIGHWAY 47
Practice Address - Street 2:
Practice Address - City:BELEN
Practice Address - State:NM
Practice Address - Zip Code:87002-5930
Practice Address - Country:US
Practice Address - Phone:505-861-2066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)Group - Single Specialty