Organization
PEERSTAR,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J NULTON PHD (PRESIDENT)
(814) 262-0025
Entity
Organization
Contact information
Practice address
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904-2833
(814) 262-0025
(814) 266-8745
Mailing address
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904-2833
(814) 262-0025
(814) 266-8745
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
327880
PA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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