Organization
YOUR CHOICE SUPPORT SERVICES, INC.
Active
Other names
Your Choice Support Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA R QUARLES (EXECUTIVE DIRECTOR)
(202) 465-9695
Entity
Organization
Contact information
Practice address
16 WICKMAN CT, WINDSOR MILL, MD 21244-1467
(202) 465-9695
Mailing address
16 WICKMAN CT, WINDSOR MILL, MD 21244-1467
(202) 465-9695
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65478690
—
MD
Enumeration date
11/20/2018
Last updated
11/20/2018
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