| Maple Shade Youth And Family Services, Inc. | |
|
11760 Somerset Ave Princess Anne MD 21853-1239 | |
| (410) 621-5177 | |
| Not Available |
| Full Name | Maple Shade Youth And Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11760 Somerset Ave, Princess Anne, Maryland |
| Authorized Official Name and Position | Jessica Dawn Holloway-hill (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4106215177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Shade Youth And Family Services, Inc. 11760 Somerset Ave Princess Anne MD 21853-1239 Ph: (410) 621-5177 | Maple Shade Youth And Family Services, Inc. 11760 Somerset Ave Princess Anne MD 21853-1239 Ph: (410) 621-5177 |
| NPI Number | 1326376302 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326376302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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