Whalio Doctors

NPI 1023331154

Peak Community Services INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Logansport, IN

Practice location

Address
1416 Woodlawn Ave, Logansport, IN 46947-4456
Phone
(574) 753-4104
Fax
(574) 753-9861

Authorised official

Name
Nicki Gunter
Title
Cfo
Phone
(574) 753-4104

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1023331154
Entity type
Organization
NPI issued
3 Mar 2010
Record last updated
10 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.