Organization
PREMIER CARE OF OHIO, INC.
Active
Other names
CMS AKRON
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRA VILCHIS (CREDENTIALING PROVIDER DATA MANAGER)
(480) 977-1438
Entity
Organization
Contact information
Practice address
1502 CANTON RD, AKRON, OH 44312-4043
(602) 248-8886
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 854-0504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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