Ksa Youth Foundation Inc.
Organization Active NPI Primary Care Clinic/Center · Dunkirk, MD
NPI 1922568435 · NPPES record last updated Mar 21, 2019
Key facts
- NPI
- 1922568435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- KSA YOUTH FOUNDATION INC.
- Practice address
- 10351 Southern Maryland Blvd Ste 101
Dunkirk, MD 20754-9510 - Phone
- (240) 766-4194
- Fax
- (301) 485-0363
- NPI assigned
- Mar 21, 2019
- Organization subpart
- No
Authorized official
- Name
- Katrina Wilkins-Jackson
- Title
- Ceo
- Phone
- (240) 766-4194
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- A Plus Counseling Center
Locations
10351 Southern Maryland Blvd
Ste 101
Dunkirk, MD 20754
Phone (240) 766-4194
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
10351 Southern Maryland Blvd Ste 101
Dunkirk, MD 20754-9510
Mailing address
10903 Indian Head Hwy Ste 504
Fort Washington, MD 20744-4012
Phone (240) 766-4194
Other names
- A plus Health Center
Other providers in Dunkirk, MD
- Clay Hakmin Kim
- John Jong Kim
- Troy Jonathan Kraft
- Amanda Elizabeth Kressin
- Ksa Youth Foundation Inc.
- Michael Kurt Kuegler
- Bolutife Ladele
- Katherine Lambert
- Lengade and Zolfaghari LLC
- Sarah Maksimovic
All providers in Dunkirk, MD · Primary Care Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.