| Tri-county Youth Services Bureau, Inc. | |
|
75 Industrial Park Dr Waldorf MD 20602-2708 | |
| (301) 645-1837 | |
| Not Available |
| Full Name | Tri-county Youth Services Bureau, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 75 Industrial Park Dr, Waldorf, Maryland |
| Authorized Official Name and Position | Laurel T James (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2406072592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Youth Services Bureau, Inc. Po Box 1798 Waldorf MD 20604-1798 Ph: (301) 645-1837 | Tri-county Youth Services Bureau, Inc. 75 Industrial Park Dr Waldorf MD 20602-2708 Ph: (301) 645-1837 |
| NPI Number | 1932525896 |
|---|---|
| Provider Enumeration Date | 03/14/2014 |
| Last Update Date | 03/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932525896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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