Organization
PREMIER COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA COLLINS MSW, LCSW (EXECUTIVE DIRECTOR)
(337) 923-0505
Entity
Organization
Contact information
Practice address
105 ROSEBUD ST, BALDWIN, LA 70514
(337) 923-0505
(337) 923-0363
Mailing address
PO BOX 1009, BALDWIN, LA 70514-1009
(337) 923-0505
(337) 923-0363
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1596574
—
LA
Enumeration date
05/09/2007
Last updated
08/22/2020
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