Organization
YOUTH SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL HAWKINS (CEO)
(301) 404-6900
Entity
Organization
Contact information
Practice address
1523 GOLF COURSE DR, BOWIE, MD 20721-2356
(301) 404-6900
Mailing address
1523 GOLF COURSE DR, BOWIE, MD 20721-2356
(301) 404-6900
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
10/31/2023
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