Provider Demographics
NPI:1992042865
Name:ZACHEWICZ ENTERPRISES INC
Entity Type:Organization
Organization Name:ZACHEWICZ ENTERPRISES INC
Other - Org Name:CORNERSTONER RECOVERY AND SUPPORTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZACHEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-630-1825
Mailing Address - Street 1:2634 DARLINGTON RD STE 4
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1277
Mailing Address - Country:US
Mailing Address - Phone:724-630-1825
Mailing Address - Fax:
Practice Address - Street 1:2634 DARLINGTON RD STE 4
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-1277
Practice Address - Country:US
Practice Address - Phone:724-630-1825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management