Provider Demographics
NPI:1659145803
Name:RECOVERY 101
Entity Type:Organization
Organization Name:RECOVERY 101
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:III
Authorized Official - Credentials:CATC 1
Authorized Official - Phone:661-233-7700
Mailing Address - Street 1:18143 SUNDOWNER WAY UNIT 959
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91387-4373
Mailing Address - Country:US
Mailing Address - Phone:661-233-7700
Mailing Address - Fax:
Practice Address - Street 1:1305 E PALMDALE BLVD STE 7
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4853
Practice Address - Country:US
Practice Address - Phone:661-233-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty