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
2829 CHESAPEAKE BEACH RD W, DUNKIRK, MD 20754-9526
(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
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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