Shadow Mountain Recovery, Albuquerque

LBN: Shadow Mountain Llc.
Shadow Mountain Recovery, Albuquerque is an health care organization with primary practice located at 5400 Gibson Blvd. S. E 3Rd Floor, Albuquerque NM 87109. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Shadow Mountain Llc. can be contacted via phone (505) 296-8184, or through Holub, Jackie via phone (925) 389-8591.

Contact Information

Primary practice address
5400 Gibson Blvd. S. E 3Rd Floor Albuquerque NM 87109
Phone: (505) 296-8184
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holub, Jackie
Phone: (925) 389-8591

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1760621007
LBN Legal business name Shadow Mountain Llc.
DBA Doing business as Shadow Mountain Recovery, Albuquerque
Authorized official Holub, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2009
Last updated Oct 28th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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