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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
SANTHOSH AUGUSTINE (OWNER)
(910) 733-2007
Entity
Organization
Contact information
Practice address
2003 GODWIN AVE STE B, LUMBERTON, NC 28358-3197
(910) 671-1111
(910) 671-4454
Mailing address
2003 GODWIN AVE STE B, LUMBERTON, NC 28358-3197
(910) 671-1111
(910) 671-4454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408672
—
NC
05
—
6006152
—
NC
05
—
8300573B
—
NC
05
—
8300573G
—
NC
05
—
8300573H
—
NC
Enumeration date
02/21/2007
Last updated
10/20/2022
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