Provider Demographics
NPI:1336972249
Name:PRIORITY HEALTH SYSTEMS INC.
Entity type:Organization
Organization Name:PRIORITY HEALTH SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FIRMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DJONTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-821-4586
Mailing Address - Street 1:94 CARONA CT UNIT 8
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-7443
Mailing Address - Country:US
Mailing Address - Phone:240-821-4586
Mailing Address - Fax:
Practice Address - Street 1:1818 NEW YORK AVE NE STE 214G
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1860
Practice Address - Country:US
Practice Address - Phone:240-821-4586
Practice Address - Fax:202-379-9779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty