Healthcare Provider Details
I. General information
NPI: 1942534664
Provider Name (Legal Business Name): RECOVERY MANAGEMENT CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2009
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1311 N GRANT ST STE A
SILVER CITY NM
88061-5134
US
IV. Provider business mailing address
1311 N GRANT ST STE A
SILVER CITY NM
88061-5134
US
V. Phone/Fax
- Phone: 575-388-1447
- Fax:
- Phone: 575-388-1447
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
G
HELGERT
Title or Position: CEO
Credential: LADAC, LPCC
Phone: 575-388-1447