Provider Demographics
NPI:1952064503
Name:QUALITY SUCCESS SERVICES
Entity Type:Organization
Organization Name:QUALITY SUCCESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-259-3749
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41666-0295
Mailing Address - Country:US
Mailing Address - Phone:606-259-3749
Mailing Address - Fax:
Practice Address - Street 1:132 S LAKE DR STE 204
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-1903
Practice Address - Country:US
Practice Address - Phone:606-259-3749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities