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Organization

YOUNG ADULT INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANKLIN AJANAKU MS (EXECUTIVE DIRECTOR)
(410) 521-4288
Entity
Organization

Contact information

Practice address
8308 LIBERTY RD, BALTIMORE, MD 21244-3105
(410) 521-4288
(410) 521-4988
Mailing address
8308 LIBERTY RD, BALTIMORE, MD 21244-3105
(410) 521-4288
(410) 521-4988

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2041
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
908650100
MD
Enumeration date
02/11/2008
Last updated
04/10/2012
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