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Organization
PREMIER INNOVATIVE CARE SERVICES
Active
Organization
PREMIER INNOVATIVE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HILLSMAN (OWNER)
(602) 296-7957
Entity
Organization
Contact information
Practice address
525 E CAMELBACK RD, PHOENIX, AZ 85012-1615
(602) 296-7957
Mailing address
525 E CAMELBACK RD, PHOENIX, AZ 85012-1615
(602) 296-7957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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