Organization
BREAKTHROUGH DEVELOPMENTAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ERBY-YOUNG (PRESIDENT)
(855) 255-5270
Entity
Organization
Contact information
Practice address
5416 16TH AVE, HYATTSVILLE, MD 20782-3444
(855) 255-5270
(855) 513-1069
Mailing address
5416 16TH AVE, HYATTSVILLE, MD 20782-3444
(855) 255-5270
(855) 513-1069
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LBA076
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1338048-00
—
MD
Enumeration date
07/21/2015
Last updated
07/21/2015
Update your record
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