Organization
PREMIER CARE OF OHIO LLC
Active
Other names
COMMUNITY MEDICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CONTRERAS (CFO)
(602) 248-8886
Entity
Organization
Contact information
Practice address
2828 CARNEGIE AVE, CLEVELAND, OH 44115-2629
(216) 859-9500
(216) 415-5635
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(480) 687-7361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-8240
OTP
OH
05
—
0489834
—
OH
Enumeration date
01/31/2022
Last updated
07/29/2025
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