# PEACE A FAITH-BASED SUBSTANCE ABUSE PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** P.E.A.C.E., LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952790354
- **Authorized official:** MRS. ROBIN DENISE CRUZ MSW, LCAC (EXECUTIVE DIRECTOR/OWNER)
- **Authorized official phone:** (317) 412-9737

## Contact information

- **Practice address:** 5401 S EAST ST, SUITE 205-C, INDIANAPOLIS, IN 46227-2064
- **Practice address phone:** (317) 412-9737
- **Practice address fax:** (317) 489-6089
- **Mailing address:** 5401 S EAST ST, SUITE 205-C, INDIANAPOLIS, IN 46227-2064
- **Mailing address phone:** (317) 412-9737
- **Mailing address fax:** (317) 489-6089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 87000715A | IN | Yes |
| 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