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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 ANN WILKINS-JACKSON PHD (CEO)
(240) 766-4194
Entity
Organization

Contact information

Practice address
10903 INDIAN HEAD HWY STE 504, FORT WASHINGTON, MD 20744-4012
(240) 766-4194
(301) 485-0363
Mailing address
10903 INDIAN HEAD HWY STE 504, FORT WASHINGTON, MD 20744-4012
(240) 766-4194
(301) 485-0363

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
11/26/2018
Last updated
11/26/2018
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