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Organization
PREMIER BEHAVIORAL SERVICES INC
Active
Organization
PREMIER BEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTHOSH AUGUSTINE MD (PRESIDENT)
(910) 733-2007
Entity
Organization
Contact information
Practice address
104 INDUSTRIAL PARK ROAD, TABOR CITY, NC 28463-1665
(910) 653-3040
(910) 653-3040
Mailing address
2003 GODWIN AVE STE B, LUMBERTON, NC 28358-3150
(910) 671-1111
(910) 671-4454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL 024 082
NC
Other
Enumeration date
12/23/2009
Last updated
03/22/2010
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