Organization · Type 2 NPI

Pivot LLC

Addiction Medicine (Family Medicine) Physician · Albuquerque, NM

NPI number 1609418144 Active

Practice location

1620 Central Ave SE
Albuquerque, NM 87106-4411

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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NPI record

NPI: 1609418144
Entity type: Organization (Type 2)
Issued: Oct 16, 2019
Last updated: Jan 16, 2020
Status: Active

Other names

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Pivot Recovery Resources LLC · doing business as
Pivot Recovery Resources LLC · doing business as

Authorized official

Amy M Hudak
Administrative Manager
(505) 551-0220

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609418144

Pivot LLC's National Provider Identifier is 1609418144, issued on Oct 16, 2019. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 16, 2020.