Organization
PEERSTAR SUPPORTIVE CONCEPTS
Active
Organization
PEERSTAR SUPPORTIVE CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J NULTON PHD (PRESIDENT)
(814) 262-0025
Entity
Organization
Contact information
Practice address
3929 PERKIOMEN AVENUE, READING, PA 19606-2718
(888) 733-7781
Mailing address
210 COLLEGE PARK PLAZA, JOHNSTOWN, PA 15904-2833
(814) 266-1491
(814) 266-1548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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