Prestige Services Group LLC
Community/Behavioral Health in Raeford, NC. Organization (NPI-2).
NPI number1184487134
StatusActive
Last updated in NPPESFeb 2, 2024
Details
- NPI
- 1184487134
- Entity type
- Organization (NPI-2)
- Legal business name
- Prestige Services Group LLC
- Organization subpart
- No
- Enumeration date
- Feb 2, 2024
- Last updated
- Feb 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
318 Harris AvenueRaeford, NC 28376
Phone 910-325-2655 · Fax 910-500-5091
Mailing address
318 Harris AvenueRaeford, NC 28376
Phone 910-325-2655 · Fax 910-500-5091
Authorized official
Donald Moses
Owner
9103252655
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