Provider Demographics
NPI:1912595679
Name:MKS RECOVERY INC
Entity type:Organization
Organization Name:MKS RECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:K
Authorized Official - Last Name:OGLETREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-345-0195
Mailing Address - Street 1:155 TRICOUNTY PKWY SUITE 237
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246
Mailing Address - Country:US
Mailing Address - Phone:513-345-0195
Mailing Address - Fax:
Practice Address - Street 1:155 TRI COUNTY PKWY STE 237
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3238
Practice Address - Country:US
Practice Address - Phone:513-345-0195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No174200000XOther Service ProvidersMeals
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility