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PREMIER SERVICE OF CAROLINA INC NPI 1467082396


NPI Information

NPI: 1467082396
Provider Name: PREMIER SERVICE OF CAROLINA, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
510 W KING ST
KINGS MOUNTAIN, NC
ZIP 28086
Phone: (704) 985-1189
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PREMIER SERVICE OF CAROLINA, INC is a community behavioral health in Kings Mountain, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PREMIER SERVICE OF CAROLINA, INC NPI is 1467082396. The provider is registered as an organization entity type.

The provider's business location address is:

510 W KING ST
KINGS MOUNTAIN, NC
ZIP 28086-310
Phone: (704) 985-1189

The provider's authorized official is Warner Leak .
The authorized official title is Owner, Ceo and has the following contact phone number (704) 985-1189.

The enumeration date for this NPI number is 1/20/2020 and was last updated on 5/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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