Provider Demographics
NPI:1063138089
Name:PEER RECOVERY 365 LLC.
Entity type:Organization
Organization Name:PEER RECOVERY 365 LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOYA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOOPER
Authorized Official - Suffix:
Authorized Official - Credentials:CPSS, CADC
Authorized Official - Phone:910-990-1943
Mailing Address - Street 1:189 COMMUNITY RD
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NC
Mailing Address - Zip Code:28398-7641
Mailing Address - Country:US
Mailing Address - Phone:910-990-1943
Mailing Address - Fax:
Practice Address - Street 1:216 N FRONT ST # A
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NC
Practice Address - Zip Code:28398-1833
Practice Address - Country:US
Practice Address - Phone:910-284-9583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health