Healthcare Provider Details

I. General information

NPI: 1821311341
Provider Name (Legal Business Name): PEER CHOICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 N TELEGRAPH RD STE 206
WATERFORD MI
48328-3355
US

IV. Provider business mailing address

255 N TELEGRAPH RD STE 206
WATERFORD MI
48328-3355
US

V. Phone/Fax

Practice location:
  • Phone: 248-978-6211
  • Fax: 248-706-0313
Mailing address:
  • Phone: 248-978-6211
  • Fax: 248-706-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: PAMELA ESTIGOY
Title or Position: EEXECUTIVE DIRECTOR
Credential:
Phone: 248-977-9172