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NPI Code Detail

MEDICARE: PREMIER MENTAL & BEHAVIORAL SERVICES, INC.

MEDICARE: PREMIER MENTAL & BEHAVIORAL SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1801635917
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER MENTAL & BEHAVIORAL SERVICES, INC.
Provider Business Mailing Address
First Line : 615 HOPE ROAD
Second Line : SUITE 3B, #8
City : EATONTOWN
State : NJ
Zip : 07724
Country : US
Telephone Number : 732-724-1234
Fax Number :
Provider Business Practice Location Address
First Line : 25 COMMERCE DR STE 210
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-3621
Country : US
Telephone Number : 732-735-4256
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ALAN TUNIT
Credential :
Telephone Number : 732-913-0033
Provider Enumeration Date : 05/20/2024
Last Update Date : 10/15/2024

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