Organization
PREMIER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA LANISE CLEMONS (OWNER)
(504) 957-8022
Entity
Organization
Contact information
Practice address
921 LOBDELL, SUITE C, BATON ROUGE, LA 70806
(225) 930-0051
Mailing address
921 LOBDELL, SUITE C, BATON ROUGE, LA 70806
(225) 930-0051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17
—
LA
Enumeration date
10/17/2008
Last updated
10/17/2008
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