Provider Demographics
NPI:1407987423
Name:HERITAGE MULTICULTURAL PROGRAMS & SERVICES
Entity Type:Organization
Organization Name:HERITAGE MULTICULTURAL PROGRAMS & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALIMATU
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSTAPHA-PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-898-8760
Mailing Address - Street 1:17844 OYSTER BAY CT
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-4529
Mailing Address - Country:US
Mailing Address - Phone:703-898-8760
Mailing Address - Fax:703-221-2376
Practice Address - Street 1:17844 OYSTER BAY CT
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-4529
Practice Address - Country:US
Practice Address - Phone:703-898-8760
Practice Address - Fax:703-221-2376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health