| Breakthrough Developmental Services, Llc | |
|
5416 16th Ave Hyattsville MD 20782-3444 | |
| (855) 255-5270 | |
| (855) 513-1069 |
| Full Name | Breakthrough Developmental Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5416 16th Ave, Hyattsville, Maryland |
| Authorized Official Name and Position | Barbara Erby-young (PRESIDENT) |
| Authorized Official Contact | 8552555270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Developmental Services, Llc 5416 16th Ave Hyattsville MD 20782-3444 Ph: (855) 255-5270 | Breakthrough Developmental Services, Llc 5416 16th Ave Hyattsville MD 20782-3444 Ph: (855) 255-5270 |
| NPI Number | 1033594916 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033594916 | NPI | - | NPPES |
| 1338048-00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LBA076 (Maryland) | Primary |
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