21D2260859 CLIA NUMBER - ROBERT A PASCAL YOUTH AND FAMILY SERVICES INC

Laboratory Demographics

CLIA Number: 21D2260859

Facility Name: ROBERT A PASCAL YOUTH AND FAMILY SERVICES INC

Facility Address:
1226 ANNAPOLIS ROAD
ODENTON, MD
ZIP 21113
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Facility Phone Number: 410 975-0067

Facility Type: Other - RESIDENTIAL 3.3, 3.5

Certificate Type: Waiver

NPI Number: 1144997271

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	21D2260859
LAB Type	Other - RESIDENTIAL 3.3, 3.5
Facility Name	ROBERT A PASCAL YOUTH AND FAMILY SERVICES INC
Street	1226 ANNAPOLIS ROAD
City	ODENTON
State	MD
ZIP	21113
Phone	410 975-0067
CertificateType	4
CertificateEffectiveDate	5/24/2022
CertificateExpirationDate	5/23/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024