Ksa Youth Foundation Inc
Ksa Youth Foundation Inc is an Addiction (Substance Use Disorder) Registered Nurse in Fort Washington, Maryland. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10905 Fort Washington Rd Ste 105Fort Washington, MD 20744-5844
Phone: (240) 766-4194
Fax: (301) 485-0363
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | Taxonomy 163WA0400X |
| Addiction Medicine (Internal Medicine) Physician | Taxonomy 207RA0401X |
| Prevention Professional | Taxonomy 405300000X |
Record details
| NPI number | 1013483023 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katrina Wilkins-Jackson — President & Ceo · (240) 766-4194 |
| NPI enumerated | October 17, 2018 |
| Last updated in NPPES | October 3, 2023 |
| Certification date | October 3, 2023 |
| Mailing address | 10905 Fort Washington Rd Ste 105, Fort Washington, MD 20744-5844 |