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Organization
PREMIER SERVICE OF CAROLINA, INC
Active
Organization
PREMIER SERVICE OF CAROLINA, INC
Active
Parent organization
PREMIER SERVICE OF CAROLINA, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER SERVICE OF CAROLINA, INC
Authorized official
WARNER LEAK (OWNER, CEO)
(704) 985-1189
Entity
Organization
Contact information
Practice address
510 W KING ST, KINGS MOUNTAIN, NC 28086-3310
(704) 750-4222
Mailing address
929 CONCORD PKWY S STE K, CONCORD, NC 28027-5031
(704) 985-1189
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/20/2020
Last updated
08/28/2024
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