Provider Demographics
NPI:1235020041
Name:PEER ENGAGEMENT RECOVERY & COLLABORATIVE
Entity type:Organization
Organization Name:PEER ENGAGEMENT RECOVERY & COLLABORATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PEER SUPPORT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TORISEJU
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNJIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-756-4984
Mailing Address - Street 1:903 PARKRIDGE RD # B
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3511 SHANNON RD # 376
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6330
Practice Address - Country:US
Practice Address - Phone:919-756-4984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)