Organization
PREMIER MENTAL HEALTH SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HARPER GIBSON RN (CHIEF OPERATING OFFICER)
(434) 728-2641
Entity
Organization
Contact information
Practice address
490 PINEY FOREST RD, DANVILLE, VA 24540-4060
(434) 797-1094
(434) 797-1096
Mailing address
490 PINEY FOREST RD, DANVILLE, VA 24540-4060
(434) 797-1094
(434) 797-1096
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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