Interactive Community Initiatives Llc.

NPI #1992460182 in Angola, Indiana

Provider Information

NPI Number: 1992460182
Entity Type: Organization
Organization Name: Interactive Community Initiatives Llc.
Primary Specialty: Peer Specialist
Enumeration Date: Nov 3, 2021
Last Updated: Nov 3, 2021

Practice Location

Address: 1995 N 110 W
City: Angola
State: Indiana
ZIP Code: 46703-7639
Phone: (260) 760-9205

Authorized Official

Name: JENNIFFER JO FRISKNEY
Title: OWNER
Phone: (260) 760-9205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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