MEDICARE: PEER CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1952447500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEER CENTER, INC.

Provider Business Mailing Address
First Line	:	4545 POWERLINE RD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-3836
Country	:	US
Telephone Number	:	954-202-7867
Fax Number	:	954-202-7866

Provider Business Practice Location Address
First Line	:	4545 POWERLINE RD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-3836
Country	:	US
Telephone Number	:	954-202-7867
Fax Number	:	954-202-7866

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. BILLY J HAYES
Credential	:
Telephone Number	:	954-202-7867

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

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