Ksa Youth Foundation Inc.

LBN: Ksa Youth Foundation Inc.
Ksa Youth Foundation Inc. is an health care organization with primary practice located at 10905 Fort Washington Rd Ste 105 , Fort Washington MD 20744-5844. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Other Service Providers / Prevention Professional. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Ksa Youth Foundation Inc. can be contacted via phone (240) 766-4194, or through Wilkins-Jackson, Katrina Ann via phone (240) 766-4194.

Contact Information

Primary practice address
10905 Fort Washington Rd Ste 105 Fort Washington MD 20744-5844
Phone: (240) 766-4194
Fax: (301) 485-0363
Website:
Map and Directions
Authorized official contact:
Name: Wilkins-Jackson, Katrina Ann PHD
Phone: (240) 766-4194

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Other Service Providers / Prevention Professional 405300000X

Profile Details

NPI number 1013483023
LBN Legal business name Ksa Youth Foundation Inc.
DBA Doing business as
Authorized official Wilkins-Jackson, Katrina Ann PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2018
Last updated Oct 3rd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013483023 NPPES
Maryland MEDICAID 132375000

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