1013483023 KSA YOUTH FOUNDATION INC.
Substance Use Disorder Rehabilitation Clinic/Center
Active
Basic Information
- Organization Name
- KSA YOUTH FOUNDATION INC.
- Enumeration Date
- October 17, 2018
- Last Update
- October 3, 2023
- Authorized Official
- KATRINA ANN WILKINS-JACKSON PHD
PRESIDENT & CEO
Phone: (240) 766-4194
Practice Location
- Address
- 10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD 207445844 - Phone
- (240) 766-4194
- Fax
- (301) 485-0363
Mailing Address
- Address
- 10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD 207445844 - Phone
- (240) 766-4194
- Fax
- (301) 485-0363
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Addiction (Substance Use Disorder) | 163WA0400X | Registered Nurse | N/A | N/A | No |
| Addiction Medicine (Internal Medicine) Physician Addiction Medicine | 207RA0401X | Internal Medicine | N/A | N/A | No |
| Prevention Professional | 405300000X | Prevention Professional | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132375000 | 05 | MD | N/A |
Frequently Asked Questions
What is KSA YOUTH FOUNDATION INC.'s NPI number?
KSA YOUTH FOUNDATION INC.'s NPI number is 1013483023.
Which doctor has NPI number 1013483023?
The doctor with NPI number 1013483023 is KSA YOUTH FOUNDATION INC..
What is KSA YOUTH FOUNDATION INC.'s practice address?
KSA YOUTH FOUNDATION INC.'s practice address is 10905 FORT WASHINGTON RD STE 105, FORT WASHINGTON, MD, 207445844.
Which doctor practices at 10905 FORT WASHINGTON RD STE 105, FORT WASHINGTON, MD, 207445844?
KSA YOUTH FOUNDATION INC. practices at 10905 FORT WASHINGTON RD STE 105, FORT WASHINGTON, MD, 207445844.
What is KSA YOUTH FOUNDATION INC.'s phone number?
KSA YOUTH FOUNDATION INC.'s phone number is (240) 766-4194.
Who is (240) 766-4194?
(240) 766-4194 is the phone number for KSA YOUTH FOUNDATION INC..
What is KSA YOUTH FOUNDATION INC.'s specialty?
KSA YOUTH FOUNDATION INC.'s specialty is Substance Use Disorder Rehabilitation Clinic/Center.
What type of doctor is KSA YOUTH FOUNDATION INC.?
KSA YOUTH FOUNDATION INC. is a Substance Use Disorder Rehabilitation Clinic/Center.
Is KSA YOUTH FOUNDATION INC. a Rehabilitation, Substance Use Disorder?
Yes, KSA YOUTH FOUNDATION INC. is a Rehabilitation, Substance Use Disorder.
Is KSA YOUTH FOUNDATION INC. still practicing?
Yes, KSA YOUTH FOUNDATION INC. is currently practicing.
Is KSA YOUTH FOUNDATION INC. accepting new patients?
KSA YOUTH FOUNDATION INC. may be accepting new patients. Please call their office at (240) 766-4194 to inquire about availability.
Is NPI 1013483023 still active?
Yes, NPI 1013483023 is currently active.
Where does KSA YOUTH FOUNDATION INC. practice?
KSA YOUTH FOUNDATION INC. practices in FORT WASHINGTON, MD.