Healthcare Provider Details

I. General information

NPI: 1710936901
Provider Name (Legal Business Name): QUEST RECOVERY AND PREVENTION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 SPRING AVE NE
CANTON OH
44714-2349
US

IV. Provider business mailing address

1711 SPRING AVE NE
CANTON OH
44714-2349
US

V. Phone/Fax

Practice location:
  • Phone: 330-454-6800
  • Fax: 330-588-7176
Mailing address:
  • Phone: 330-454-6800
  • Fax: 330-588-7176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. KEITH HOCHADEL
Title or Position: PRESIDENT/CEO
Credential: PCC-S, LCDCIII. SAP
Phone: 330-453-8252