Organization
PREMIER SUPPORT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARISS SMITH (EXECUTIVE DIRECTOR)
(215) 260-5447
Entity
Organization
Contact information
Practice address
1100 CEDRUS WAY, ROCKVILLE, MD 20854-5534
(215) 260-5447
Mailing address
1100 CEDRUS WAY, ROCKVILLE, MD 20854-5534
(215) 260-5447
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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