Organization
PREMIER CARE OF INDIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GAITHER (VP OF REVENUE CYCLE)
(480) 935-5755
Entity
Organization
Contact information
Practice address
317 S NORTON ST, MARION, IN 46952-3296
(765) 664-0101
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 248-8999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
1522-0-ASR
IN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
1522-5-OTF
IN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/25/2017
Last updated
02/09/2024
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