| Jacob's Ladder Youth Foundation | |
|
1616 Saratoga Ct Fort Washington MD 20744-4186 | |
| (240) 691-3619 | |
| Not Available |
| Full Name | Jacob's Ladder Youth Foundation |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1616 Saratoga Ct, Fort Washington, Maryland |
| Authorized Official Name and Position | Jarriel Jared Jordan (DIRECTOR) |
| Authorized Official Contact | 2406913619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob's Ladder Youth Foundation 1616 Saratoga Ct Fort Washington MD 20744-4186 Ph: (240) 691-3619 | Jacob's Ladder Youth Foundation 1616 Saratoga Ct Fort Washington MD 20744-4186 Ph: (240) 691-3619 |
| NPI Number | 1144675430 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144675430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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