| Preparing Our Youth, Inc | |
|
210 W Pennsylvania Ave Ste 100 Towson MD 21204-4507 | |
| (443) 799-1169 | |
| Not Available |
| Full Name | Preparing Our Youth, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 W Pennsylvania Ave Ste 100, Towson, Maryland |
| Authorized Official Name and Position | Tora Barts (CEO) |
| Authorized Official Contact | 4437991169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preparing Our Youth, Inc 210 W Pennsylvania Ave Ste 100 Towson MD 21204-4507 Ph: (443) 799-1169 | Preparing Our Youth, Inc 210 W Pennsylvania Ave Ste 100 Towson MD 21204-4507 Ph: (443) 799-1169 |
| NPI Number | 1952076754 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952076754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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