| Ksa Youth Foundation Inc. | |
|
10351 Southern Maryland Blvd Ste 101 Dunkirk MD 20754-9510 | |
| (240) 766-4194 | |
| (301) 485-0363 |
| Full Name | Ksa Youth Foundation Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10351 Southern Maryland Blvd Ste 101, Dunkirk, Maryland |
| Authorized Official Name and Position | Katrina Wilkins-jackson (CEO) |
| Authorized Official Contact | 2407664194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksa Youth Foundation Inc. 10903 Indian Head Hwy Ste 504 Fort Washington MD 20744-4012 Ph: (240) 766-4194 | Ksa Youth Foundation Inc. 10351 Southern Maryland Blvd Ste 101 Dunkirk MD 20754-9510 Ph: (240) 766-4194 |
| NPI Number | 1922568435 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922568435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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