Organization
PEAK COMMUNITY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKI GUNTER (CFO)
(574) 753-4104
Entity
Organization
Contact information
Practice address
1711 TREEN ST, LOGANSPORT, IN 46947-1122
(574) 753-4104
(574) 753-9861
Mailing address
1416 WOODLAWN AVE, LOGANSPORT, IN 46947-4456
(574) 753-4104
(574) 753-9861
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235390
—
IN
Enumeration date
03/03/2010
Last updated
02/09/2015
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