Provider Demographics
NPI:1922337062
Name:PEER CENTER PEERS ENRICHING EACH OTHERS RECOVERY
Entity Type:Organization
Organization Name:PEER CENTER PEERS ENRICHING EACH OTHERS RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:DORRIS-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-251-7728
Mailing Address - Street 1:1221 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1404
Mailing Address - Country:US
Mailing Address - Phone:614-251-7728
Mailing Address - Fax:
Practice Address - Street 1:1221 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1404
Practice Address - Country:US
Practice Address - Phone:614-251-7728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health