# ON TARGET PREMIER SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ON Target Premier Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548932965
- **Authorized official:** MRS. JULIET JOHNSON-RICHARDSON CASE MANAGER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (305) 213-3703

## Contact information

- **Practice address:** 1400 CHURCH ST, CONWAY, SC 29526-4104
- **Practice address phone:** (305) 213-3703
- **Mailing address:** 7866 U.S. 701, 29527, CONWAY, SC 29527
- **Mailing address phone:** (305) 213-3703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2021
- **Last updated:** 10/04/2021