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General NPI Number Information
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NPI Number | 1740122001
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Entity Type | Organization
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Legal Business Name | YOUTH CRISIS RESIDENTS
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 6300 HARDWOOD DR
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City | LANHAM
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State | MD
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Zip | 20706-2859
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Country | US
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Telephone | 202-345-7099
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Fax |
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Provider Business Mailing Address
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Address Line | 1123 MD RT 3 N # 214
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City | GAMBRILLS
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State | MD
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Zip | 21054-1715
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Country | US
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Telephone | 202-345-7099
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATION OFFICER
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Name | KIMBERLY BURTON
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Credential | LCSW-C
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Telephone | 202-345-7099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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