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Organization
KING EDWARDS' INC.
Active
Organization
KING EDWARDS' INC.
Active
Other names
King Edwards Wellness Program
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA SHIRD CLAYTON LCSW-C (EXECUTIVE DIRECTOR)
(410) 494-9212
Entity
Organization
Contact information
Practice address
8600 LA SALLE RD CHESTER BLDG SUITE302, TOWSON, MD 21286-2001
(410) 494-9212
(410) 494-9212
Mailing address
8600 LA SALLE RD CHESTER BLDG SUITE302, TOWSON, MD 21286-2001
(410) 494-9212
(410) 494-9212
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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