Provider Demographics
NPI:1801635917
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:PRESIDENT
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:732-913-0033
Mailing Address - Street 1:615 HOPE ROAD
Mailing Address - Street 2:SUITE 3B, #8
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724
Mailing Address - Country:US
Mailing Address - Phone:732-724-1234
Mailing Address - Fax:
Practice Address - Street 1:25 COMMERCE DR STE 210
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3621
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:2024-05-20
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)