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Organization

KSA YOUTH FOUNDATION INC.

Active
Other names
A plus Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
KATRINA WILKINS-JACKSON (CEO)
(240) 766-4194
Entity
Organization

Contact information

Practice address
7600 OSLER DR STE 105, TOWSON, MD 21204-7705
(240) 766-4194
(301) 485-0363
Mailing address
PO BOX 703, ACCOKEEK, MD 20607-0703
(240) 766-4194
(301) 485-0363

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QP2300X
Primary Care Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
01/04/2019
Last updated
01/04/2019
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