Whalio Doctors

NPI 1790727121

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
1790727121
Entity type
Organization
NPI issued
11 Jun 2006
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.