| Premier Comprehensive Services Llc | |
|
3272 Herrenhut Rd Lithonia GA 30038-2781 | |
| (678) 316-6997 | |
| Not Available |
| Full Name | Premier Comprehensive Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3272 Herrenhut Rd, Lithonia, Georgia |
| Authorized Official Name and Position | Avery Mitchell (OWNER/COO) |
| Authorized Official Contact | 6783166997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Comprehensive Services Llc 3272 Herrenhut Rd Lithonia GA 30038-2781 Ph: (678) 316-6997 | Premier Comprehensive Services Llc 3272 Herrenhut Rd Lithonia GA 30038-2781 Ph: (678) 316-6997 |
| NPI Number | 1003247628 |
|---|---|
| Provider Enumeration Date | 12/07/2013 |
| Last Update Date | 12/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003247628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC007152 (Georgia) | Primary |
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