NPI 1053637710
Premier Service of Carolina, INC
Practice location
- Address
- 109 Penny St, Albemarle, NC 28001
- Phone
- (704) 985-1178
- Fax
- (704) 985-0106
- Mailing address
- 109 Penny St, Albemarle, NC 28001-2803
Authorised official
- Name
- Warner Leak
- Title
- President/Ceo
- Phone
- (704) 985-1189
Registered specialties (2)
Psychiatric Residential Treatment Facility
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1053637710
- Entity type
- Organization
- NPI issued
- 20 Apr 2010
- Record last updated
- 14 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.