Provider Demographics
NPI:1245766260
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:MANAGED CARE DIRECTOR/CFO
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
Mailing Address - Street 2:SUITE 100-306
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6379
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:209 E 18TH ST
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-3104
Practice Address - Country:US
Practice Address - Phone:949-270-6217
Practice Address - Fax:949-607-4006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility