Provider Demographics
NPI:1366491540
Name:QUEST RECOVERY AND PREVENTION SERVICES
Entity Type:Organization
Organization Name:QUEST RECOVERY AND PREVENTION SERVICES
Other - Org Name:ALLIANCE OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCHADEL
Authorized Official - Suffix:
Authorized Official - Credentials:PCC-S, LCDCIII, SAP
Authorized Official - Phone:330-453-8252
Mailing Address - Street 1:1207 W STATE ST
Mailing Address - Street 2:SUITE M
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4686
Mailing Address - Country:US
Mailing Address - Phone:330-821-3846
Mailing Address - Fax:330-821-5172
Practice Address - Street 1:1207 W STATE ST
Practice Address - Street 2:SUITE M
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4686
Practice Address - Country:US
Practice Address - Phone:330-821-3846
Practice Address - Fax:330-821-5172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH01838Medicare UPIN
OHQU9213293Medicare PIN