# MAPLE SHADE YOUTH AND FAMILY SERVICES, INC.

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

## Provider details

- **NPI number:** 1780134486
- **Authorized official:** DR. NIRU JANI MD (CHIEF ADMINISTRATOR)
- **Authorized official phone:** (410) 740-7400

## Contact information

- **Practice address:** 23704 OCEAN GTWY, MARDELA SPRINGS, MD 21837-2101
- **Practice address phone:** (410) 742-7400
- **Practice address fax:** (410) 742-6452
- **Mailing address:** 23704 OCEAN GTWY, MARDELA SPRINGS, MD 21837-2101
- **Mailing address phone:** (410) 742-7400
- **Mailing address fax:** (410) 742-6452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 1709 | MD | Yes |
| 385H00000X | Respite Care | MH-979 | MD | — |

## Other

- **Enumeration date:** 10/06/2016
- **Last updated:** 10/06/2016