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Organization
PREMIER CARE OF OHIO, LLC.
Active
Organization
PREMIER CARE OF OHIO, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GAITHER (VP REVENUE CYCLE MGMT)
(602) 248-8886
Entity
Organization
Contact information
Practice address
2727 ST. JOHNS RD STE D, LIMA, OH 45804
(567) 940-9140
(567) 940-9803
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8889
(602) 248-8999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
13844
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/07/2017
Last updated
02/09/2024
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