| NPI | 1962091017 |
|---|---|
| Doing Business As | PREMIERE THERAPY |
| Former Legal Business Name | PREMIERE EVENTS |
| Entity Type | Organization |
| Authorized Contact | MARK GALLO COO 323-864-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |