Organization
MAPLE SHADE YOUTH & FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHER JAXON CASEY LCPC (REHABILITATION SPECIALIST)
(410) 742-7400
Entity
Organization
Contact information
Practice address
23704 OCEAN GTWY, MARDELA SPRINGS, MD 21837-2101
(410) 742-7400
Mailing address
23704 OCEAN GTWY, MARDELA SPRINGS, MD 21837-2101
(410) 742-7400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
138090700
MD
Other
Enumeration date
06/10/2008
Last updated
04/12/2022
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