| Robert A. Pascal Youth And Family Services, Inc. | |
|
43 Community Pl Crownsville MD 21032-2034 | |
| (410) 571-4500 | |
| Not Available |
| Full Name | Robert A. Pascal Youth And Family Services, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 43 Community Pl, Crownsville, Maryland |
| Authorized Official Name and Position | Kimberly Lamb (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 4109750067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A. Pascal Youth And Family Services, Inc. 1215 Annapolis Rd Ste 204 Odenton MD 21113-1351 Ph: () - | Robert A. Pascal Youth And Family Services, Inc. 43 Community Pl Crownsville MD 21032-2034 Ph: (410) 571-4500 |
| NPI Number | 1275130965 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275130965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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