Organization
YOUNG ADULT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANKLIN AJANAKU MS (EXECITIVE DIRECTOR)
(410) 521-4288
Entity
Organization
Contact information
Practice address
8308 LIBERTY RD, BALTIMORE, MD 21244-3105
(410) 521-4288
Mailing address
8308 LIBERTY RD, BALTIMORE, MD 21244-3105
(410) 521-4288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8957
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
908650100
—
MD
05
—
908651000
—
MD
Enumeration date
10/22/2007
Last updated
04/10/2012
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