SURVIVOR SOURCES INC NPI 1174160980

NPI Information

  • NPI: 1174160980
  • Provider Name: SURVIVOR SOURCES INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4301 GARDEN CITY DR STE 304
    HYATTSVILLE, MD
    ZIP 20785
  • Phone: (301) 235-0060

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NPI Details

SURVIVOR SOURCES INC is a mental health (including community mental health center) clinic center in Hyattsville, MD. SURVIVOR SOURCES INC NPI is 1174160980. The provider is registered as an organization entity type.

The provider's business location address is:

4301 GARDEN CITY DR STE 304
HYATTSVILLE, MD
ZIP 20785-105
Phone: (301) 235-0060

The provider's authorized official is Marshalee George .
The authorized official title is Chairman and has the following contact phone number (443) 453-3343.

The enumeration date for this NPI number is 11/30/2019 and was last updated on 11/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
3363LF0000XNurse PractitionerFamilyNo
4363LX0001XNurse PractitionerObstetrics & GynecologyNo
5171M00000XCase Manager/Care CoordinatorNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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