Provider Demographics
NPI:1720430192
Name:RECOVERY SOLUTIONS CONSULTING AND TRAINING
Entity Type:Organization
Organization Name:RECOVERY SOLUTIONS CONSULTING AND TRAINING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHOUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-868-4762
Mailing Address - Street 1:PO BOX 347
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-0347
Mailing Address - Country:US
Mailing Address - Phone:716-868-4762
Mailing Address - Fax:
Practice Address - Street 1:262 CHESTNUT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3302
Practice Address - Country:US
Practice Address - Phone:814-807-2746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007192101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103081417001Medicaid