| 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 |
|---|---|
| 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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