| Premiere Community Development Center | |
|
5615 Old National Hwy Suite D College Park GA 30349 | |
| (404) 768-5553 | |
| (678) 281-0601 |
| Full Name | Premiere Community Development Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5615 Old National Hwy, College Park, Georgia |
| Authorized Official Name and Position | Christopher E White (CEO) |
| Authorized Official Contact | 7702561302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Community Development Center 5615 Old National Hwy Suite D College Park GA 30349 Ph: (404) 768-5553 | Premiere Community Development Center 5615 Old National Hwy Suite D College Park GA 30349 Ph: (404) 768-5553 |
| NPI Number | 1932337730 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 12/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932337730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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