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Organization
PREMIER BEHAVIORAL SERVICES INC
Active
Organization
PREMIER BEHAVIORAL SERVICES INC
Active
Parent organization
PREMIER BEHAVIORAL SERVICES INC
Other names
Premier Behavioral Services Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER BEHAVIORAL SERVICES INC
Authorized official
DR. SANTHOSH AUGUSTINE MD (PRESIDENT)
(910) 733-2007
Entity
Organization
Contact information
Practice address
2003 GODWIN AVE, SUITE B, LUMBERTON, NC 28358-3197
(910) 671-1111
(910) 671-4454
Mailing address
2003 GODWIN AVENUE, SUITE B, LUMBERTON, NC 28358-3197
(910) 671-1111
(910) 671-4454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C001816
NC
207R00000X
Internal Medicine Physician
9600445
NC
2084P0800X
Psychiatry Physician
19520
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
10/20/2022
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