Healthcare Provider Details

I. General information

NPI: 1518890714
Provider Name (Legal Business Name): EUPHORIA BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 4TH ST SW
ALBUQUERQUE NM
87102-4368
US

IV. Provider business mailing address

8500 MESA SPRINGS AVE SW
ALBUQUERQUE NM
87121-7036
US

V. Phone/Fax

Practice location:
  • Phone: 505-304-2812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAX JUAREZ
Title or Position: OWNER
Credential:
Phone: 505-304-2812