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Interactive Community Initiatives Llc.
Peer Specialist in Angola, Indiana
NPI 1992460182

Interactive Community Initiatives Llc. is a Peer Specialist based in Pleasant Lake, IN. Interactive Community Initiatives Llc. practices in Angola, IN. The NPI Number for Interactive Community Initiatives Llc. is 1992460182 and holds a License No. (Indiana).

The current practice location address for Interactive Community Initiatives Llc. is 1995 N 110 W, Angola, IN and can be reached out via phone at 260-760-9205.

Location: 1995 N 110 W, Angola, IN, 46779-0062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992460182
Provider Name
Interactive Community Initiatives Llc.
Credential
Provider Entity Type
Organization
Address
1995 N 110 W, Angola, IN, 46779-0062
Phone Number
260-760-9205
Fax Number
Provider Enumeration Date
11/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1995 N 110 W
City
Angola
State
Indiana
Zip
46703-7639
Phone Number
260-760-9205
Fax Number
person
Provider Business Mailing Address Details
Address
1995 N 110 W
City
Angola
State
Indiana
Zip
46703-7639
Phone Number
260-760-9205
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Peer Specialist
1995 N 110 W,
ANGOLA, IN
46703-7639
260-760-9205
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