Organization
YOUTH CARE CENTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JOHNSON (EXECUTIVE DIRECTOR)
(443) 944-1118
Entity
Organization
Contact information
Practice address
200 E MAIN ST STE B, SALISBURY, MD 21801-5139
(443) 914-2922
Mailing address
3917 MARKET ST, SNOW HILL, MD 21863-4413
(443) 944-1118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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