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Organization
PEACE A FAITH-BASED SUBSTANCE ABUSE PROGRAM
Active
Organization
PEACE A FAITH-BASED SUBSTANCE ABUSE PROGRAM
Active
Other names
P.E.A.C.E., LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN DENISE CRUZ MSW, LCAC (EXECUTIVE DIRECTOR/OWNER)
(317) 412-9737
Entity
Organization
Contact information
Practice address
5401 S EAST ST, SUITE 205-C, INDIANAPOLIS, IN 46227-2064
(317) 412-9737
(317) 489-6089
Mailing address
5401 S EAST ST, SUITE 205-C, INDIANAPOLIS, IN 46227-2064
(317) 412-9737
(317) 489-6089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000715A
IN
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
Other
Enumeration date
01/22/2015
Last updated
01/26/2015
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