Provider Demographics
NPI:1538771449
Name:RECOVERY SUPPORT WORX CO.
Entity type:Organization
Organization Name:RECOVERY SUPPORT WORX CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:412-638-0850
Mailing Address - Street 1:300 CATHERINE ST FL 1
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-2817
Mailing Address - Country:US
Mailing Address - Phone:412-638-0850
Mailing Address - Fax:
Practice Address - Street 1:300 CATHERINE ST FL 1
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-2817
Practice Address - Country:US
Practice Address - Phone:412-638-0850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health