Provider Demographics
NPI:1649958372
Name:PREMIER MENTAL & BEHAVIORAL SERVICES, INC
Entity type:Organization
Organization Name:PREMIER MENTAL & BEHAVIORAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUNIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-832-3444
Mailing Address - Street 1:74 BRICK BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7984
Mailing Address - Country:US
Mailing Address - Phone:732-735-4256
Mailing Address - Fax:
Practice Address - Street 1:74 BRICK BLVD FL 2
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7984
Practice Address - Country:US
Practice Address - Phone:732-735-4256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMIER MENTAL & BEHAVIORAL SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-11
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)