Organization
PEER RECOVERY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EDDIE PHD (DIRECTOR)
(617) 643-9194
Entity
Organization
Contact information
Practice address
41A LAKE ST, WILMINGTON, MA 01887-3728
(617) 643-9194
Mailing address
41A LAKE ST, WILMINGTON, MA 01887-3728
(617) 643-9194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
10/02/2023
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