Provider Demographics
NPI:1699254029
Name:RECOVERY COACHING SERVICES, INC.
Entity type:Organization
Organization Name:RECOVERY COACHING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:JR
Authorized Official - Credentials:CRS
Authorized Official - Phone:610-816-5101
Mailing Address - Street 1:505 PENN ST FL 1
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3473
Mailing Address - Country:US
Mailing Address - Phone:610-816-5101
Mailing Address - Fax:610-816-5104
Practice Address - Street 1:505 PENN ST FL 1
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3473
Practice Address - Country:US
Practice Address - Phone:610-816-5101
Practice Address - Fax:610-816-5104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty