Peer Recovery Consultants
Peer Specialist in Wilmington, MA. Organization (NPI-2).
NPI number1265219620
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1265219620
- Entity type
- Organization (NPI-2)
- Legal business name
- Peer Recovery Consultants
- Organization subpart
- No
- Enumeration date
- Sep 11, 2023
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
41a Lake StWilmington, MA 01887-3728
Phone 617-643-9194
Mailing address
41a Lake StWilmington, MA 01887-3728
Phone 617-643-9194
Authorized official
David Eddie
Director
6176439194
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