Healthcare Provider Details

I. General information

NPI: 1265933162
Provider Name (Legal Business Name): THE RECOVERY MANAGEMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2018
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 W 13TH ST
SILVER CITY NM
88061-5139
US

IV. Provider business mailing address

118 W 13TH ST
SILVER CITY NM
88061-5139
US

V. Phone/Fax

Practice location:
  • Phone: 575-388-1447
  • Fax:
Mailing address:
  • Phone: 575-388-1447
  • Fax: 575-388-1447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0191281
License Number StateNM

VIII. Authorized Official

Name: MR. JAMES G HELGERT
Title or Position: CEO
Credential: LPCC, LADAC
Phone: 575-388-1447