SANTA FE RECOVERY CENTER INC
NPI 1033716972
Substance Abuse Rehabilitation Facility in Gallup, NM

Active since October 05, 2020CLIA Certified · 5 labs
2105 HASLER VALLEY RD, GALLUP, NM 87301(505) 471-9856 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2025, Feb 6, 2025, Jul 12, 2024 and 3 more (6 updates tracked since 2020).

About Santa Fe Recovery Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA FE RECOVERY CENTER INC (NPI 1033716972) is a healthcare organization registered as a substance abuse rehabilitation facility in Gallup, New Mexico and active in the NPI registry since October 2020. The organization holds 5 active CLIA laboratory certificates and lists Elisa Schleusener, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1033716972
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSANTA FE RECOVERY CENTER INC
Location Address2105 HASLER VALLEY RDGallup, NM 87301
Mailing Address2504 Camino EntradaSanta Fe, NM 87507-4851 · (505) 471-4985
Organization SubpartYes
Authorized OfficialElisa SchleusenerCredentialing Manager · (505) 847-5422
Enumeration DateOctober 5, 2020
Last NPPES UpdateMarch 4, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1033716972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2105 HASLER VALLEY RD, Gallup, NM 87301

Other Names 1

Other NameFour Corners Detox Recovery

Other Identifiers 1

Medicaid82536716NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santa Fe Recovery Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Santa Fe Recovery Center Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Marriage and Family Therapist
NPI 1306165147
2504 CAMINO ENTRADA
Santa Fe, NM 87507
(505) 471-4985
✔ PECOS✔ Accepts Medicare152 mi
Addiction Medicine
NPI 1588048375
1000 10TH AVE
New York, NY 10019
(212) 523-6845
✔ PECOS✔ Accepts Medicare1,912 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2204784

Santa Fe Recovery Center · Santa Fe, NM
Active · expires Dec 9, 2026
CLIA Number32D2204784
Laboratory TypeDrug And Alcohol Recovery
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorDr. James Besante
Laboratory Phone(505) 471-4985
Laboratory LocationSanta Fe Recovery Center2504 Camino Entrada, Santa Fe, NM 87507
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2204795

Santa Fe Recovery Center Inc · Gallup, NM
Active · expires Dec 9, 2026
CLIA Number32D2204795
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorJames Besante
Laboratory Phone(505) 471-4985
Laboratory LocationSanta Fe Recovery Center Inc2105 Hasler Valley Road, Gallup, NM 87301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2306389

Santa Fe Recovery Center Inc · Gallup, NM
Active · expires Jun 16, 2028
CLIA Number32D2306389
Laboratory TypeDrug And Alcohol Rehab
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorJames S. Besante
Laboratory Phone(505) 471-4985
Laboratory LocationSanta Fe Recovery Center Inc2022 East Aztec Ave, Gallup, NM 87301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2299398

Santa Fe Recovery Center Inc · Gallup, NM
Active · expires Feb 19, 2028
CLIA Number32D2299398
Laboratory TypeDrug And Alcholhol Rehab
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorJames Besante
Laboratory Phone(505) 471-4985
Laboratory LocationSanta Fe Recovery Center Inc1808 E Aztec Ave Suite 6, Gallup, NM 87301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2316692

Santa Fe Recovery Center Inc · Gallup, NM
Active · expires Jan 9, 2027
CLIA Number32D2316692
Laboratory TypeDrug And Alcohol Rehab Ce
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorJames Besante
Laboratory Phone(505) 471-4985
Laboratory LocationSanta Fe Recovery Center Inc2028 E Aztec, Gallup, NM 87301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Fe Recovery Center Inc's NPI number?

The NPI number for Santa Fe Recovery Center Inc is 1033716972. It was assigned to this organization in the NPPES registry on October 5, 2020. The provider is also known as Four Corners Detox Recovery.

Where is Santa Fe Recovery Center Inc located?

Santa Fe Recovery Center Inc is located at 2105 Hasler Valley Rd, Gallup, NM 87301. The listed phone number is (505) 471-9856.

What is Santa Fe Recovery Center Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Santa Fe Recovery Center Inc enrolled in Medicare?

Yes. Santa Fe Recovery Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santa Fe Recovery Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Santa Fe Recovery Center Inc, in Addiction Medicine and Marriage and Family Therapist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Santa Fe Recovery Center Inc hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Santa Fe Recovery Center Inc was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.