Your Choice Support Services, Inc. | |
16 Wickman Ct Windsor Mill MD 21244-1467 | |
(202) 465-9695 | |
Not Available |
Full Name | Your Choice Support Services, Inc. |
---|---|
Speciality | Psychologist - Intellectual & Developmental Disabilities |
Location | 16 Wickman Ct, Windsor Mill, Maryland |
Authorized Official Name and Position | Andrea R Quarles (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2024659695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Your Choice Support Services, Inc. 16 Wickman Ct Windsor Mill MD 21244-1467 Ph: (202) 465-9695 | Your Choice Support Services, Inc. 16 Wickman Ct Windsor Mill MD 21244-1467 Ph: (202) 465-9695 |
NPI Number | 1013486901 |
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Provider Enumeration Date | 11/20/2018 |
Last Update Date | 11/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013486901 | NPI | - | NPPES |
65478690 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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