Healthcare Provider Details

I. General information

NPI: 1851958763
Provider Name (Legal Business Name): HOPE RECOVERY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2019
Last Update Date: 05/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MCKNIGHT PARK DR STE 201
PITTSBURGH PA
15237-6507
US

IV. Provider business mailing address

200 MCKNIGHT PARK DR STE 201
PITTSBURGH PA
15237-6507
US

V. Phone/Fax

Practice location:
  • Phone: 412-348-0192
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ARII METZ
Title or Position: CREDENT OFF
Credential:
Phone: 412-348-0192