| Pride Youth Services, Inc | |
|
3230 Pennsylvania Ave, Se Suite 210 Washington DC 20020 | |
| (202) 575-0238 | |
| (202) 575-0239 |
| Full Name | Pride Youth Services, Inc |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 3230 Pennsylvania Ave, Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Ludley Howard (PRESIDENT & CEO) |
| Authorized Official Contact | 2025750238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Youth Services, Inc 3230 Pennsylvania Ave, Se Suite 210 Washington DC 20020 Ph: (202) 575-0238 | Pride Youth Services, Inc 3230 Pennsylvania Ave, Se Suite 210 Washington DC 20020 Ph: (202) 575-0238 |
| NPI Number | 1306063540 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306063540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (District Of Columbia) | Primary |
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