Organization
PREMIER SERVICES OF MICHIGAN, LLC
Active
Other names
Premier Care Madison Heights
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GAITHER (VP REVENUE CYCLE MGMT)
(602) 248-8886
Entity
Organization
Contact information
Practice address
1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(248) 547-2223
(800) 377-9518
Mailing address
PO BOX 220, SULLIVAN, MO 63080-0220
(573) 860-2273
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
—
MI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/15/2008
Last updated
02/10/2024
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