Healthcare Provider Details

I. General information

NPI: 1942110846
Provider Name (Legal Business Name): QUALITY SUCCESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 HILLSIDE CENTER DR
PRESTONSBURG KY
41653-8866
US

IV. Provider business mailing address

39 HILLSIDE CENTER DR
PRESTONSBURG KY
41653-8866
US

V. Phone/Fax

Practice location:
  • Phone: 606-506-4367
  • Fax:
Mailing address:
  • Phone: 606-506-4367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DALTON A FRASURE
Title or Position: CO-OWNER
Credential:
Phone: 606-477-1755