Organization
PREMIER COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA COLLINS MSW (EXECUTIVE DIRECTOR)
(225) 933-0142
Entity
Organization
Contact information
Practice address
1001 W PINHOOK RD, STE 301, LAFAYETTE, LA 70503-2448
(337) 269-8990
Mailing address
PO BOX 1009, BALDWIN, LA 70514-1009
(337) 269-8990
(337) 923-0363
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
15479
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1800741
—
LA
Enumeration date
11/02/2013
Last updated
11/02/2013
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