Provider Demographics
NPI:1902470982
Name:RECOVERY SOLUTIONS LLC
Entity Type:Organization
Organization Name:RECOVERY SOLUTIONS LLC
Other - Org Name:SADDLEBACK RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HONGOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-843-5724
Mailing Address - Street 1:27525 PUERTA REAL STE 300-306
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6379
Mailing Address - Country:US
Mailing Address - Phone:877-843-5724
Mailing Address - Fax:
Practice Address - Street 1:27184 ORTEGA HWY STE 209-210
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-5705
Practice Address - Country:US
Practice Address - Phone:877-843-5724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)