NPI | 1316663719 |
---|---|
Former Legal Business Name | PREMIER BEHAVIORAL SERVICES INC |
Entity Type | Organization |
Authorized Contact | SANTHOSH AUGUSTINE Owner 910-733-2007 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2022-10-17 |
Last Update Date | 2022-10-17 |