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Contact Information

YOUTH CRISIS RESIDENTS
6300 HARDWOOD DR
SEABROOK, MD20706-2859
 Phone: 202-345-7099
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Art Therapist

221700000X
 

Drama Therapist

101200000X
 

Mental Health

101YM0800X
 

Other Service Providers

175T00000X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for YOUTH CRISIS RESIDENTS · (Female)

NPI # 1700728060
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2026
Last updated 04/07/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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