| Premier Behavioral Services Inc | |
|
2003 Godwin Ave Ste B Lumberton NC 28358-3197 | |
| (910) 671-1111 | |
| (910) 671-4454 |
| Full Name | Premier Behavioral Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2003 Godwin Ave Ste B, Lumberton, North Carolina |
| Authorized Official Name and Position | Santhosh Augustine (OWNER) |
| Authorized Official Contact | 9107332007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Behavioral Services Inc 2003 Godwin Ave Ste B Lumberton NC 28358-3197 Ph: (910) 671-1111 | Premier Behavioral Services Inc 2003 Godwin Ave Ste B Lumberton NC 28358-3197 Ph: (910) 671-1111 |
| NPI Number | 1689719296 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689719296 | NPI | - | NPPES |
| 3408672 | Medicaid | NC | |
| 8300573G | Medicaid | NC | |
| 6006152 | Medicaid | NC | |
| 8300573H | Medicaid | NC | |
| 8300573B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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