| Prestige Healthcare Resources Inc. | |
|
9500 Medical Center Dr Ste 104 Largo MD 20774-3703 | |
| (240) 269-7374 | |
| Not Available |
| Full Name | Prestige Healthcare Resources Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9500 Medical Center Dr Ste 104, Largo, Maryland |
| Authorized Official Name and Position | John Saye Smith (CEO) |
| Authorized Official Contact | 2406443578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Healthcare Resources Inc. 9500 Medical Center Dr Ste 104 Largo MD 20774-3703 Ph: (240) 269-7374 | Prestige Healthcare Resources Inc. 9500 Medical Center Dr Ste 104 Largo MD 20774-3703 Ph: (240) 269-7374 |
| NPI Number | 1053067322 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053067322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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