| Peac | |
|
110 N River St Ypsilanti MI 48198-2807 | |
| (734) 484-2758 | |
| Not Available |
| Full Name | Peac |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 110 N River St, Ypsilanti, Michigan |
| Authorized Official Name and Position | John Patrick Waterman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7346588347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peac 110 N River St Ypsilanti MI 48198-2807 Ph: (734) 484-2758 | Peac 110 N River St Ypsilanti MI 48198-2807 Ph: (734) 484-2758 |
| NPI Number | 1407244601 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407244601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Michigan) | Secondary |
| 251V00000X | Voluntary Or Charitable | (Michigan) | Primary |
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