Organization
PREMIER HEALTHCARE SERVICES INC
Active
Other names
GRACE HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED SURGEON (DIRECTOR)
(910) 733-0617
Entity
Organization
Contact information
Practice address
1892 TURNPIKE ROAD, RAEFORD, NC 28376
(910) 733-0617
Mailing address
401 E 11TH ST, LUMBERTON, NC 28358-4807
(910) 733-0617
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
08/15/2007
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