Provider Demographics
NPI:1023289022
Name:RECOVERY SOLUTIONS, PC
Entity type:Organization
Organization Name:RECOVERY SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:OLASIMBO
Authorized Official - Middle Name:
Authorized Official - Last Name:BABATOPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-514-9090
Mailing Address - Street 1:3417 CANTON ROAD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066
Mailing Address - Country:US
Mailing Address - Phone:770-514-9090
Mailing Address - Fax:
Practice Address - Street 1:3417 CANTON RD
Practice Address - Street 2:SUITE 402
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2896
Practice Address - Country:US
Practice Address - Phone:770-514-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050389261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA675334418AMedicaid