Organization
PRESTIGE HEALTH COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA MORRIS (CREDENTIALING MANAGER)
(202) 890-9972
Entity
Organization
Contact information
Practice address
1418 MARION BARRY AVE SE, WASHINGTON, DC 20020-5615
(202) 796-5000
Mailing address
1418 MARION BARRY AVE SE, WASHINGTON, DC 20020-5615
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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