| NPI | 1427245158 |
|---|---|
| Former Legal Business Name | PREMIUM HEALTHCARE SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | HENRY N CHIGBU President 504-254-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |