Provider Demographics
NPI:1043028855
Name:THE PETER PROJECT INC.
Entity type:Organization
Organization Name:THE PETER PROJECT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YAHVI
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-274-0772
Mailing Address - Street 1:245 RIVERSIDE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-4930
Mailing Address - Country:US
Mailing Address - Phone:904-274-0772
Mailing Address - Fax:
Practice Address - Street 1:245 RIVERSIDE AVE STE 100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-4930
Practice Address - Country:US
Practice Address - Phone:904-274-0772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management