Provider Demographics
NPI:1427762665
Name:SOLUTIONS RECOVERY, INC
Entity type:Organization
Organization Name:SOLUTIONS RECOVERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:C
Authorized Official - Last Name:FENRICH
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:920-233-0888
Mailing Address - Street 1:621 EVANS ST
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-4605
Mailing Address - Country:US
Mailing Address - Phone:920-233-0888
Mailing Address - Fax:920-651-0929
Practice Address - Street 1:621 EVANS ST
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-4605
Practice Address - Country:US
Practice Address - Phone:920-233-0888
Practice Address - Fax:920-651-0929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable