Four Corners Detox Recovery is a Group Psychotherapy - Psychology Clinic in Gallup, New Mexico. This organization is also known as sub part of Santa Fe Recovery Center. It is located at 2105 Hasler Valley Rd, Gallup, NM and its contact number is 505-471-9856. The authorized person for Four Corners Detox Recovery is Lou Duran
who is Credentialing And Billing of the clinic and his/her contact number is 505-270-3966. Four Corners Detox Recovery Clinic is specialized to perform group therapy, a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. It can be any form of psychotherapy which is delivered in a group format, including cognitive behavioural therapy or interpersonal therapy, but it is usually psychodynamic group therapy where the group context and group process is explicitly utilised as a mechanism of change by developing, exploring and examining interpersonal relationships within the group.
Complete Clinic Profile:
Four Corners Detox Recovery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Four Corners Detox Recovery
Specialization:
Group Psychotherapy
Clinic Address:
2105 Hasler Valley Rd, Gallup, New Mexico, 87305
Phone:
505-471-9856
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Lou Duran
Position:
Credentialing And Billing
Contact Number:
505-270-3966
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Four Corners Detox Recovery clinic are as mentioned below.
NPI Number:
1033716972
Parent Organization:
Santa Fe Recovery Center
NPI Enumeration Date:
05 Oct, 2020
NPI Last Update On:
25 Nov, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Four Corners Detox Recovery are as mentioned below.
Specialization
License Number
State
Status
Substance Abuse Rehabilitation Facility
Primary
Group Psychotherapy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
82536716
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Four Corners Detox Recovery 2504 Camino Entrada, Santa Fe, New Mexico
Zip:
87507-4851
Phone Number:
505-471-4985
Patients can reach Four Corners Detox Recovery at 2105 Hasler Valley Rd, Gallup, New Mexico or can call to book an appointment on 505-471-9856. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.