Provider Demographics
NPI:1932473329
Name:FOUR FORTY-NINE, INC.
Entity Type:Organization
Organization Name:FOUR FORTY-NINE, INC.
Other - Org Name:449 RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-COO-PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TASSONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-441-5949
Mailing Address - Street 1:26010 ACERO STE 100
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6720
Mailing Address - Country:US
Mailing Address - Phone:855-435-7449
Mailing Address - Fax:949-429-0767
Practice Address - Street 1:26010 ACERO STE 100
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2768
Practice Address - Country:US
Practice Address - Phone:909-379-9237
Practice Address - Fax:949-429-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health