| NPI | 1215657937 |
|---|---|
| Doing Business As | PREMIER CHOICE BEHAVIORAL HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CARSON Fnp 601-218-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-10-03 |