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Organization

PRESTIGE BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHALL MIDDLE NAME JAMES PMHNP-BC (CEO)
(443) 519-6409
Entity
Organization

Contact information

Practice address
6221 GREENLEIGH AVE UNIT 277, BALTIMORE, MD 21220-2018
(443) 519-6409
Mailing address
10806 BECKENHAM ST, BALTIMORE, MD 21220-3149
(443) 519-5409

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/09/2021
Last updated
11/14/2023
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