Provider Demographics
NPI:1780004671
Name:QUEST RECOVERY AND PREVENTION SERVICES, INC.
Entity Type:Organization
Organization Name:QUEST RECOVERY AND PREVENTION SERVICES, INC.
Other - Org Name:
Other - Org Type:
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 1:1341 MARKET AVE N
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-2605
Mailing Address - Country:US
Mailing Address - Phone:330-453-8252
Mailing Address - Fax:330-453-6716
Practice Address - Street 1:46 FEDERAL AVE NW
Practice Address - Street 2:SUITE 1
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-5401
Practice Address - Country:US
Practice Address - Phone:330-833-0234
Practice Address - Fax:330-837-7705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01-0619101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2901131Medicaid
OHH170130Medicare PIN