UPI (Provider ID): 13006
Change Report (if Any):

Short Name: PEER CENTER

Long Name 1: THE PEER CENTER
Long Name 2:

Address 1: 1221 EAST BROAD STREET
Address 2:

City: COLUMBUS
Zip Code: 43205
County: FRAN

Contact: JULIET DORRIS-WILLIA
Title: CEO
Phone: 6142517829
FAX: 6142523849

Vendor: 13006

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/09/2012

File Produced: 19MAY2012