| Peerstar Advocacy Alliance Llc | |
|
399 Green Ave Ext Lewistown PA 17044-3404 | |
| (814) 266-1491 | |
| (814) 266-1548 |
| Full Name | Peerstar Advocacy Alliance Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 399 Green Ave Ext, Lewistown, Pennsylvania |
| Authorized Official Name and Position | Larry J Nulton (PRESIDENT) |
| Authorized Official Contact | 8142620025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peerstar Advocacy Alliance Llc 210 College Park Plz Johnstown PA 15904-2833 Ph: (814) 266-1491 | Peerstar Advocacy Alliance Llc 399 Green Ave Ext Lewistown PA 17044-3404 Ph: (814) 266-1491 |
| NPI Number | 1417386160 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 05/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417386160 | NPI | - | NPPES |
| 1028643170001 | Medicaid | PA | |
| 1028643170002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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