Provider Demographics
NPI:1194039719
Name:RECOVERY SOLUTIONS LLC
Entity Type:Organization
Organization Name:RECOVERY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:928-271-9709
Mailing Address - Street 1:2800 S PALO VERDE LN UNIT 1
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-3495
Mailing Address - Country:US
Mailing Address - Phone:928-271-9709
Mailing Address - Fax:800-419-1685
Practice Address - Street 1:2800 S PALO VERDE LN UNIT 1
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-3495
Practice Address - Country:US
Practice Address - Phone:928-271-9709
Practice Address - Fax:800-419-1685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health