Organization
PREMIER COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA COLLINS MSW, LCSW (EXECUTIVE DIRECTOR)
(225) 933-0142
Entity
Organization
Contact information
Practice address
3414 MOSS ST, SUITE G, LAFAYETTE, LA 70507-6107
(337) 269-8990
(225) 272-1940
Mailing address
PO BOX 1009, BALDWIN, LA 70514-1009
(337) 269-8990
(225) 272-1940
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
15118
LA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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