Organization
YOUR CHOICE SUPPORT SERVICES, INC.
Active
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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