Healthcare Provider Details

I. General information

NPI: 1316896111
Provider Name (Legal Business Name): PAWSITIVE RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9218 LUTHY CIR NE
ALBUQUERQUE NM
87112-5121
US

IV. Provider business mailing address

9218 LUTHY CIR NE
ALBUQUERQUE NM
87112-5121
US

V. Phone/Fax

Practice location:
  • Phone: 505-800-9681
  • Fax:
Mailing address:
  • Phone: 505-800-9681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: CHELSIE MCGUIRE
Title or Position: PRESIDENT
Credential:
Phone: 505-800-9681