Provider Demographics
NPI:1265219620
Name:PEER RECOVERY CONSULTANTS
Entity type:Organization
Organization Name:PEER RECOVERY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-643-9194
Mailing Address - Street 1:41A LAKE ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-3728
Mailing Address - Country:US
Mailing Address - Phone:617-643-9194
Mailing Address - Fax:
Practice Address - Street 1:41A LAKE ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-3728
Practice Address - Country:US
Practice Address - Phone:617-643-9194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty