Healthcare Provider Details

I. General information

NPI: 1801702444
Provider Name (Legal Business Name): VIBE RECOVERY RANCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 VISTA HERMOSA RD
BLUEWATER NM
87005-0374
US

IV. Provider business mailing address

5101 COPPER AVE NE
ALBUQUERQUE NM
87108-5352
US

V. Phone/Fax

Practice location:
  • Phone: 505-578-2641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: VINCENT BETT
Title or Position: CEO
Credential:
Phone: 505-578-2641