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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