Organization · Type 2 NPI
Interactive Community Initiatives Llc.
Peer Specialist · Angola, IN
NPI number
1992460182
Active
Practice location
1995 N 110 W
Angola, IN 46703-7639
Mailing address
PO Box 62
Pleasant Lake, IN 46779-0062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Another provider at this address
About NPI 1992460182
Interactive Community Initiatives Llc.'s National Provider Identifier is 1992460182, issued on Nov 3, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Angola, IN. The record was last updated on Nov 3, 2021.