Healthcare Provider Details

I. General information

NPI: 1336972249
Provider Name (Legal Business Name): PRIORITY HEALTH SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE NE STE 214G
WASHINGTON DC
20002-1860
US

IV. Provider business mailing address

94 CARONA CT UNIT 8
SILVER SPRING MD
20905-7443
US

V. Phone/Fax

Practice location:
  • Phone: 240-821-4586
  • Fax: 202-379-9779
Mailing address:
  • Phone: 240-821-4586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: FIRMIN DJONTU
Title or Position: CEO
Credential:
Phone: 240-821-4586