Healthcare Provider Details

I. General information

NPI: 1023952181
Provider Name (Legal Business Name): BEGINNINGS RECOVERY NEW MEXICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 ALAMO AVE SE FL 3
ALBUQUERQUE NM
87106-3820
US

IV. Provider business mailing address

220 FARADAY AVE
JACKSON NJ
08527-5053
US

V. Phone/Fax

Practice location:
  • Phone: 410-409-3662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID LAX
Title or Position: PARTNER
Credential:
Phone: 410-409-3662