Organization
KSA YOUTH FOUNDATION INC.
Active
Other names
A Plus Quality Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATRINA ANN WILKINS-JACKSON (PRESIDENT & CEO)
(240) 766-4194
Entity
Organization
Contact information
Practice address
10905 FORT WASHINGTON RD STE 105, FORT WASHINGTON, MD 20744-5844
(240) 766-4194
(301) 485-0363
Mailing address
10905 FORT WASHINGTON RD STE 105, FORT WASHINGTON, MD 20744-5844
(240) 766-4194
(301) 485-0363
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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