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Ksa Youth Foundation Inc.
Prevention Professional in Fort Washington, Maryland
NPI 1013483023

Ksa Youth Foundation Inc. is a Prevention Professional based in Fort Washington, MD. Ksa Youth Foundation Inc. practices in Fort Washington, MD. The NPI Number for Ksa Youth Foundation Inc. is 1013483023 and holds a License No. (Maryland).

The current practice location address for Ksa Youth Foundation Inc. is 10905 Fort Washington Rd Ste 105, Fort Washington, MD and can be reached out via phone at 240-766-4194 and via fax at 301-485-0363.

Location: 10905 Fort Washington Rd Ste 105, Fort Washington, MD, 20744-5844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013483023
Provider Name
Ksa Youth Foundation Inc.
Credential
Provider Entity Type
Organization
Address
10905 Fort Washington Rd Ste 105, Fort Washington, MD, 20744-5844
Phone Number
240-766-4194
Fax Number
301-485-0363
Provider Enumeration Date
10/17/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132375000 05 MD
institution
Provider Business Practice Location Address Details
Address
10905 Fort Washington Rd Ste 105
City
Fort Washington
State
Maryland
Zip
20744-5844
Phone Number
240-766-4194
Fax Number
301-485-0363
person
Provider Business Mailing Address Details
Address
10905 Fort Washington Rd Ste 105
City
Fort Washington
State
Maryland
Zip
20744-5844
Phone Number
240-766-4194
Fax Number
301-485-0363
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
163WA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Prevention Professional
Speciality
-
Taxonomy
405300000X
License No.
()
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
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