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Premier Service Of Carolina, Inc
Community/Behavioral Health Agency in Johnson City, Tennessee
NPI 1811433444

Premier Service Of Carolina, Inc is a Community/Behavioral Health Agency based in Albemarle, TN. Premier Service Of Carolina, Inc practices in Johnson City, TN. The NPI Number for Premier Service Of Carolina, Inc is 1811433444 and holds a License No. I000000019328 (Tennessee).

The current practice location address for Premier Service Of Carolina, Inc is 207 N Boone St Ste 300, Johnson City, TN and can be reached out via phone at 704-985-1189 and via fax at 704-985-1189. You can also correspond with Premier Service Of Carolina, Inc through the mailing address at 109 PENNY ST, ALBEMARLE, NC - 28001-2803 (mailing address contact number: 704-985-1189).

Location: 207 N Boone St Ste 300, Johnson City, TN, 28001-2803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811433444
Provider Name
Premier Service Of Carolina, Inc
Credential
Provider Entity Type
Organization
Address
207 N Boone St Ste 300, Johnson City, TN, 28001-2803
Phone Number
704-985-1189
Fax Number
704-985-1189
Provider Enumeration Date
01/06/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
Q021696 05 TN
institution
Provider Business Practice Location Address Details
Address
207 N Boone St Ste 300
City
Johnson City
State
Tennessee
Zip
37604-5675
Phone Number
704-985-1189
Fax Number
704-985-1189
person
Provider Business Mailing Address Details
Address
109 Penny St
City
Albemarle
State
North Carolina
Zip
28001-2803
Phone Number
704-985-1189
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
I000000019328 (Tennessee)
Definition
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.
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