Organization
PREMIUM COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH JAKAUS (OWNER)
(617) 669-0444
Entity
Organization
Contact information
Practice address
1354 HANCOCK ST STE 208, QUINCY, MA 02169-5109
(617) 669-0444
Mailing address
1354 HANCOCK ST STE 208, QUINCY, MA 02169-5109
(617) 669-0444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us