Healthcare Provider Details

I. General information

NPI: 1124077847
Provider Name (Legal Business Name): QUEST RECOVERY AND PREVENTION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 NAVE RD SE
MASSILLON OH
44646-9604
US

IV. Provider business mailing address

1660 NAVE RD SE
MASSILLON OH
44646-9604
US

V. Phone/Fax

Practice location:
  • Phone: 330-837-1883
  • Fax: 330-837-4603
Mailing address:
  • Phone: 330-837-1883
  • Fax: 330-837-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance 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