Healthcare Provider Details

I. General information

NPI: 1548171721
Provider Name (Legal Business Name): PEER WELLNESS CENTER AND WORKFORCE DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 FREEMAN RD
CENTRAL POINT OR
97502-2510
US

IV. Provider business mailing address

460 FREEMAN RD
CENTRAL POINT OR
97502-2510
US

V. Phone/Fax

Practice location:
  • Phone: 541-778-7245
  • Fax:
Mailing address:
  • Phone: 541-778-7245
  • 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: NICOLE R POSTON
Title or Position: EXECUTIVE DIRECTOR
Credential: CADC-I, QMHA-II, CRM
Phone: 541-778-7245