Take Charge Juvenile Diversion Program, Inc.

LBN: Take Charge Juvenile Diversion Program, Inc.
Take Charge Juvenile Diversion Program, Inc. is an health care organization with primary practice located at 7610 Pennsylvania Ave Suite 300, Forestville MD 20747-4701. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Take Charge Juvenile Diversion Program, Inc. can be contacted via phone (301) 420-7395, or through Mustaf, Terrah Jerrod via phone (301) 420-7395.

Contact Information

Primary practice address
7610 Pennsylvania Ave Suite 300 Forestville MD 20747-4701
Phone: (301) 420-7395
Fax: (301) 420-7397
Website:
Map and Directions
Authorized official contact:
Name: Mustaf, Terrah Jerrod
Phone: (301) 420-7395

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1407284995
LBN Legal business name Take Charge Juvenile Diversion Program, Inc.
DBA Doing business as
Authorized official Mustaf, Terrah Jerrod
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2013
Last updated Nov 27th, 2013 - about 12 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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