Premier Behavioral Services Inc | |
104 Industrial Park Road Tabor City NC 28463-1665 | |
(910) 653-3040 | |
(910) 653-3040 |
Full Name | Premier Behavioral Services Inc |
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Speciality | Community/behavioral Health |
Location | 104 Industrial Park Road, Tabor City, North Carolina |
Authorized Official Name and Position | Santhosh Augustine (PRESIDENT) |
Authorized Official Contact | 9107332007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Behavioral Services Inc 2003 Godwin Ave Ste B Lumberton NC 28358-3150 Ph: (910) 671-1111 | Premier Behavioral Services Inc 104 Industrial Park Road Tabor City NC 28463-1665 Ph: (910) 653-3040 |
NPI Number | 1609105592 |
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Provider Enumeration Date | 12/23/2009 |
Last Update Date | 03/22/2010 |
Identifier | Type | State | Issuer |
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1609105592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | MHL 024 082 (North Carolina) | Primary |
Stephens Outreach Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W 5th St, Tabor City, NC 28463 Phone: 910-653-5553 |