DESERT OASIS RECOVERY
NPI 1689045163
Clinic/Center - Rehabilitation, Substance Use Disorder in Albuquerque, NM

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

Active since October 09, 2015

600 PAISANO ST NE, ALBUQUERQUE, NM 87123(505) 296-8184 Get Directions Write a Review

NPPES record last updated: October 9, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Substance Use Disorder

About DESERT OASIS RECOVERY

This page provides the complete NPI Profile along with additional information for Desert Oasis Recovery, a provider established in Albuquerque, New Mexico operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1689045163 assigned on October 2015. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Andrew Sidoli (Coo)

NPI: 1689045163 Verify this NPI
Provider Name: DESERT OASIS RECOVERY
Entity Type: Organization
Location Address: 600 PAISANO ST NE ALBUQUERQUE, NM 87123
Location Phone: (505) 296-8184
Mailing Address: 600 PAISANO ST NE ALBUQUERQUE, NM 87123
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-09-2015
Last Update Date: 10-09-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rehabilitation, Substance Use Disorder
Taxonomy Code: 261QR0405X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ANDREW SIDOLI
Authorized Official Title: COO
Authorized Official Phone: (505) 504-0260