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Organization

YOUTH CARE CENTER INC

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
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
907207
MD
Enumeration date
07/11/2017
Last updated
09/05/2019
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