| Organization Name: | PREMIER SERVICE OF CAROLINA, INC |
| NPI Number: | 1053637710 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WARNER LEAK (PRESIDENT/CEO) |
| Mailing Address: | 109 Penny St Albemarle |
| State: | NC US |
| Postal Code: | 280012803 |
| Phone Number: | 7049851178 |
| Fax Number: | 7049850106 |
| NPI Enumeration Date: | 04/20/2010 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 323P00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Psychiatric Residential Treatment Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient |