Ksa Youth Foundation Inc.
NPI #1013483023 in Fort Washington, Maryland
Provider Information
- NPI Number
- 1013483023
- Entity Type
- Organization
- Organization Name
- Ksa Youth Foundation Inc.
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Oct 17, 2018
- Last Updated
- Oct 3, 2023
Practice Location
- Address
- 10905 FORT WASHINGTON RD STE 105
- City
- Fort Washington
- State
- Maryland
- ZIP Code
- 20744-5844
- Phone
- (240) 766-4194
Authorized Official
- Name
- KATRINA ANN WILKINS-JACKSON, PHD
- Title
- PRESIDENT & CEO
- Phone
- (240) 766-4194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Internal Medicine - Addiction Medicine — Addiction Medicine |
| Prevention Professional |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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| Ksa Youth Foundation Inc. |  AI Deep Dive |
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