Youth Crisis Residents

LBN: Youth Crisis Residents
Youth Crisis Residents is an health care organization with primary practice located at 17505 Madrillon Way , Accokeek MD 20607-3457. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Youth Crisis Residents can be contacted via phone (202) 345-7099, or through Burton, Kimberly via phone (202) 345-7099.

Contact Information

Primary practice address
17505 Madrillon Way Accokeek MD 20607-3457
Phone: (202) 345-7099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burton, Kimberly LCSW-C
Phone: (202) 345-7099

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1396591194
LBN Legal business name Youth Crisis Residents
DBA Doing business as
Authorized official Burton, Kimberly LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2024
Last updated Jun 20th, 2024 - about 5 months 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 1396591194 NPPES
Maryland MEDICAID 1629428735
Maryland MEDICAID 1316474398

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