Healthcare Provider Details

I. General information

NPI: 1861337123
Provider Name (Legal Business Name): PEER POINT RECOVERY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 E WASHINGTON AVE
PERU IN
46970-1007
US

IV. Provider business mailing address

52 E WASHINGTON AVE
PERU IN
46970-1007
US

V. Phone/Fax

Practice location:
  • Phone: 765-431-8114
  • Fax:
Mailing address:
  • Phone: 765-431-8114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JEFFERY WAYNE COOMER
Title or Position: CEO/DIRECTOR OF RECOVERY SERVICES
Credential: CRC, CFRC
Phone: 765-431-8114