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Organization

PREMIER CARE OF OHIO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY GAITHER (VP OF REVENUE CYCLE)
(602) 248-8886
Entity
Organization

Contact information

Practice address
42 E. CRESCENTVILLE ROAD, WEST CHESTER, OH 45246
(513) 671-7117
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 494-2497
(480) 687-7361

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
251S00000X
Community/Behavioral Health Agency
Primary
13361
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM2800X
Methadone Clinic
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
11/15/2012
Last updated
02/09/2024
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