Organization
TREATMENT RESOURCES FOR YOUTH, INC.
Active
Other names
TREATMENT RESOURCES FOR YOUTH AT NORTHWEST
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATAVIA D LITTLE LCSW-C (EXECUTIVE DIRECTOR)
(410) 578-8100
Entity
Organization
Contact information
Practice address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5143
(410) 578-8100
(443) 524-2628
Mailing address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5143
(410) 578-8100
(443) 524-2628
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
903676
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196361901
—
MD
Enumeration date
12/11/2015
Last updated
12/11/2015
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