Organization · Type 2 NPI

Shadow Mountain Llc.

Substance Abuse Rehabilitation Facility · Albuquerque, NM

NPI number 1760621007 Active

Practice location

5400 Gibson Blvd. S. E, 3rd Floor
Albuquerque, NM 87109

Call (505) 296-8184 Map

Mailing address

5400 Gibson Blvd. S.e, 3rd Floor
Albuquerque, NM 87109

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1760621007

Shadow Mountain Llc.'s National Provider Identifier is 1760621007, issued on Feb 10, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 28, 2015.