| Ksa Youth Foundation Inc. | |
|
10905 Fort Washington Rd Ste 105 Fort Washington MD 20744-5844 | |
| (240) 766-4194 | |
| (301) 485-0363 |
| Full Name | Ksa Youth Foundation Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10905 Fort Washington Rd Ste 105, Fort Washington, Maryland |
| Authorized Official Name and Position | Katrina Ann Wilkins-jackson (CEO/OWNER) |
| Authorized Official Contact | 2407664194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksa Youth Foundation Inc. 10905 Fort Washington Rd Ste 105 Fort Washington MD 20744-5844 Ph: (240) 766-4194 | Ksa Youth Foundation Inc. 10905 Fort Washington Rd Ste 105 Fort Washington MD 20744-5844 Ph: (240) 766-4194 |
| NPI Number | 1598267700 |
|---|---|
| Provider Enumeration Date | 03/03/2018 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598267700 | NPI | - | NPPES |
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