| Youth Crisis Residents | |
|
17505 Madrillon Way Accokeek MD 20607-3457 | |
| (202) 345-7099 | |
| Not Available |
| Full Name | Youth Crisis Residents |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 17505 Madrillon Way, Accokeek, Maryland |
| Authorized Official Name and Position | Kimberly Burton (CHIEF OPERATION OFFICER) |
| Authorized Official Contact | 2023457099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Crisis Residents 1123 Md Rt 3 N # 214 Gambrills MD 21054-1715 Ph: (202) 345-7099 | Youth Crisis Residents 17505 Madrillon Way Accokeek MD 20607-3457 Ph: (202) 345-7099 |
| NPI Number | 1396591194 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396591194 | NPI | - | NPPES |
| 1629428735 | Medicaid | MD | |
| 1316474398 | Medicaid | MD |
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