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TREATMENT RESOURCES FOR YOUTH INC. NPI 1295100568


NPI Information

NPI: 1295100568
Provider Name: TREATMENT RESOURCES FOR YOUTH, INC.

Other Name: TREATMENT RESOURCES FOR YOUTH AT NORTHWEST

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3319 W BELVEDERE AVE
BALTIMORE, MD
ZIP 21215
Phone: (410) 578-8100
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TREATMENT RESOURCES FOR YOUTH, INC. is a rehabilitation and substance use disorder clinic center in Baltimore, MD. TREATMENT RESOURCES FOR YOUTH, INC. NPI is 1295100568. The provider is registered as an organization entity type.
The provider Other Name Is Treatment Resources For Youth At Northwest.

The provider's business location address is:

3319 W BELVEDERE AVE
BALTIMORE, MD
ZIP 21215-143
Phone: (410) 578-8100
Fax: (443) 524-2628

The provider's authorized official is Latavia D Little .
The authorized official title is Executive Director and has the following contact phone number (410) 578-8100.

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder903676MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1196361901MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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