Organization
MAPLE SHADE YOUTH AND FAMILY SERVICES, INC.
Active
Other names
Crisfield PRP
Organization subpart
No
Provider details
NPI number
Authorized official
JARVIA FISHELL (CEO)
(410) 742-7400
Entity
Organization
Contact information
Practice address
382 W MAIN ST, CRISFIELD, MD 21817-1329
(410) 202-2750
Mailing address
382 W MAIN ST, CRISFIELD, MD 21817-1329
(410) 202-2750
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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