| Maple Shade Youth & Family Services, Inc. | |
|
23704 Ocean Gtwy Mardela Springs MD 21837-2101 | |
| (410) 742-7400 | |
| Not Available |
| Full Name | Maple Shade Youth & Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23704 Ocean Gtwy, Mardela Springs, Maryland |
| Authorized Official Name and Position | Angela Ford (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4106770202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Shade Youth & Family Services, Inc. 23704 Ocean Gtwy Mardela Springs MD 21837-2101 Ph: (410) 742-7400 | Maple Shade Youth & Family Services, Inc. 23704 Ocean Gtwy Mardela Springs MD 21837-2101 Ph: (410) 742-7400 |
| NPI Number | 1104978162 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104978162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Maryland) | Primary |
Maple Shade Youth & Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23704 Ocean Gtwy, Mardela Springs, MD 21837 Phone: 410-742-7400 |