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NPI Code Detail

MEDICARE: QUEST RECOVERY AND PREVENTION SERVICES, INC.

MEDICARE: QUEST RECOVERY AND PREVENTION SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407805682
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEST RECOVERY AND PREVENTION SERVICES, INC.
Provider Business Mailing Address
First Line : 1341 MARKET AVE N
Second Line :
City : CANTON
State : OH
Zip : 44714-2605
Country : US
Telephone Number : 330-453-8252
Fax Number : 330-453-6716
Provider Business Practice Location Address
First Line : 1341 MARKET AVE N
Second Line :
City : CANTON
State : OH
Zip : 44714-2605
Country : US
Telephone Number : 330-453-8252
Fax Number : 330-453-6716
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. KEITH HOCHADEL
Credential : PCC-S, LCDCIII, SAP
Telephone Number : 330-453-8252
Provider Enumeration Date : 05/08/2006
Last Update Date : 12/21/2015

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Directions to “QUEST RECOVERY AND PREVENTION SERVICES, INC. ” Practice Location

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