Organization
PREMIER SERVICE OF CAROLINA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARNER LEAK (PRESIDENT/CEO)
(704) 985-1189
Entity
Organization
Contact information
Practice address
109 PENNY ST, ALBEMARLE, NC 28001
(704) 985-1178
(704) 985-0106
Mailing address
109 PENNY ST, ALBEMARLE, NC 28001-2803
(704) 985-1178
(704) 985-0106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
08/14/2018
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