Premier Care of Ohio, LLC

NPI #1891404778 in Kent, Ohio

Provider Information

NPI Number: 1891404778
Entity Type: Organization
Organization Name: Premier Care of Ohio, LLC
Primary Specialty: Clinic/Center - Methadone
Enumeration Date: Nov 18, 2022
Last Updated: Feb 9, 2024

Practice Location

Address: 174 CURRIE HALL PARKWAY
Address 2: SUITE A
City: Kent
State: Ohio
ZIP Code: 44240
Phone: (330) 790-5355

Authorized Official

Name: CINDY GAITHER
Title: VP OF REVENUE CYCLE MANAGEMENT
Phone: (602) 248-8886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Methadone — Methadone	261QM2800X	Primary

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