HEALING ADDICTION IN OUR COMMUNITY (NPI# 1275910101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275910101 |
| Entity Type | Organization |
| Organization Name | HEALING ADDICTION IN OUR COMMUNITY |
| Other Organization Name | SERENITY MESA RECOVERY CENTER |
| Practice Address |
3701 Condershire Dr Sw Albuquerque NM 87121-5253 |
| Mailing Address |
Po Box 56632 Albuquerque NM 87187-6632 |
| Practice Telephone | 5053639684 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | MRS. JENNIFER WEISS-BURKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5053639684 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Serenity Mesa Recovery Center | Doing Business As Name - Organization |
| Street Address |
3701 CONDERSHIRE DR SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699937151 | Hogares Inc. | Counselor | 3701 Condershire Dr Sw, Albuquerque, NM 87121-5253 | 2008-06-26 |
| 1497363204 | Jordan Masters | Social Worker | 3701 Condershire Dr Sw, Albuquerque, NM 87121-5253 | 2020-07-17 |
| 1881238202 | Rebecca Michelle Smith | Counselor | 3701 Condershire Dr Sw, Albuquerque, NM 87121-5253 | 2019-10-29 |
| 1609354307 | Celeste Curry | Social Worker | 3701 Condershire Dr Sw, Albuquerque, NM 87121-5253 | 2018-08-03 |
| 1265966774 | Calli Feerer | Social Worker | 3701 Condershire Dr Sw, Albuquerque, NM 87121-5253 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982145785 | Navajo Dept. of Behavioral Health Services | Substance Abuse Rehabilitation Facility | 491 Pinon Street, Shiprock, NM 87420-1830 | 2017-03-13 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1194891218 | Presbyterian Medical Services | Substance Abuse Rehabilitation Facility | 851 Andrea Dr, Suite 4, Building E, Farmington, NM 87401-6726 | 2006-11-28 |
| 1043857147 | Herron Solutions LLC | Substance Abuse Rehabilitation Facility | 817 Desi Loop, Belen, NM 87002-8068 | 2019-12-08 |
| 1073711693 | Navajo Regional Behavioral Health Center - Adolescent Residential | Substance Abuse Rehabilitation Facility | Pinon & Cottonwood Dr Building #2301, Shiprock, NM 87402 | 2007-07-05 |
| City | ALBUQUERQUE |
| Zip Code | 87121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.