Whalio Doctors

NPI 1063735330

Peak Community Services INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Winamac, IN

Practice location

Address
324 W Main St, Winamac, IN 46996-1205
Phone
(574) 753-4104
Fax
(574) 753-9861
Mailing address
1416 Woodlawn Ave, Logansport, IN 46947-4456

Authorised official

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

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1063735330
Entity type
Organization
NPI issued
1 Mar 2010
Record last updated
9 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.