Healthcare Provider Details

I. General information

NPI: 1649137910
Provider Name (Legal Business Name): RECOVERY HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 WILSHIRE AVE NE
ALBUQUERQUE NM
87122-3055
US

IV. Provider business mailing address

9101 WILSHIRE AVE NE
ALBUQUERQUE NM
87122-3055
US

V. Phone/Fax

Practice location:
  • Phone: 505-832-7088
  • Fax: 505-832-7089
Mailing address:
  • Phone: 505-832-7088
  • Fax: 505-832-7089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AUBRY PADILLA
Title or Position: CEO
Credential:
Phone: 505-832-7088