Provider Demographics
NPI:1710936901
Name:QUEST RECOVERY AND PREVENTION SERVICES
Entity Type:Organization
Organization Name:QUEST RECOVERY AND PREVENTION SERVICES
Other - Org Name:QUEST DELIVERANCE HOUSE
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 1:1711 SPRING AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-2349
Mailing Address - Country:US
Mailing Address - Phone:330-454-6800
Mailing Address - Fax:330-588-7176
Practice Address - Street 1:1711 SPRING AVE NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44714-2349
Practice Address - Country:US
Practice Address - Phone:330-454-6800
Practice Address - Fax:330-588-7176
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?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHQU9213293Medicare PIN
OHVR0479655Medicare UPIN