Ksa Youth Foundation Inc.
NPI #1801460084 in Fort Washington, Maryland
Provider Information
- NPI Number
- 1801460084
- Entity Type
- Organization
- Organization Name
- Ksa Youth Foundation Inc.
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- May 13, 2021
- Last Updated
- May 13, 2021
Practice Location
- Address
- 10903 INDIAN HEAD HWY STE 501
- City
- Fort Washington
- State
- Maryland
- ZIP Code
- 20744-4012
- Phone
- (240) 766-4194
Authorized Official
- Name
- DR. KATRINA WILKINS JACKSON
- Title
- PRESIDENT & CEO
- Phone
- (240) 766-4194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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