| Treatment Resources For Youth | |
|
2517 N Charles St Baltimore MD 21218-4602 | |
| (410) 366-2123 | |
| Not Available |
| Full Name | Treatment Resources For Youth |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2517 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Latavia Little (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4103662123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treatment Resources For Youth 2517 N Charles St Baltimore MD 21218-4602 Ph: (410) 366-2123 | Treatment Resources For Youth 2517 N Charles St Baltimore MD 21218-4602 Ph: (410) 366-2123 |
| NPI Number | 1447231592 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447231592 | NPI | - | NPPES |
| 196361900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 10120 (Maryland) | Primary |
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