Healthcare Provider Details

I. General information

NPI: 1134883523
Provider Name (Legal Business Name): RECOVERY RESOLUTION SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18100 JEFFERSON PARK RD STE 101
MIDDLEBURG HEIGHTS OH
44130-8458
US

IV. Provider business mailing address

18100 JEFFERSON PARK RD STE 101
MIDDLEBURG HEIGHTS OH
44130-8458
US

V. Phone/Fax

Practice location:
  • Phone: 440-403-9351
  • Fax:
Mailing address:
  • Phone: 216-379-7170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON MICHAEL ROSIER
Title or Position: EXECUTIVE DIRECTOR
Credential: CDCA, NCPRSS, RA
Phone: 216-379-7170