# YOUTH CARE CENTER INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669970331
- **Authorized official:** SHAWN JOHNSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (443) 944-1118

## Contact information

- **Practice address:** 1504 S SALISBURY BLVD STE 22, SALISBURY, MD 21801-7165
- **Practice address phone:** (443) 914-2922
- **Mailing address:** 3917 MARKET ST, SNOW HILL, MD 21863-4413
- **Mailing address phone:** (443) 914-2922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | MD | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 01/29/2018
- **Last updated:** 06/11/2019