Ksa Youth Foundation Inc.

NPI #1659077287 in Fort Washington, Maryland

Provider Information

NPI Number: 1659077287
Entity Type: Organization
Organization Name: Ksa Youth Foundation Inc.
Primary Specialty: General Practice
Enumeration Date: Feb 6, 2023
Last Updated: Feb 6, 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: DR. KATRINA ANN WILKINS-JACKSON
Title: PRESIDENT & CEO
Phone: (240) 766-4194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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