ROBERT A. PASCAL YOUTH AND FAMILY SERVICES, INC. (NPI# 1275130965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275130965 |
| Entity Type | Organization |
| Organization Name | ROBERT A. PASCAL YOUTH AND FAMILY SERVICES, INC. |
| Practice Address |
43 Community Pl Crownsville MD 21032-2034 |
| Mailing Address |
1215 Annapolis Rd Ste 204 Odenton MD 21113-1351 |
| Practice Telephone | 4105714500 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | ELIZABETH ROBERTS (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 4109750067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003439431 | Robert A. Pascal Youth and Family Services, Inc. | Nurse Practitioner | 1226 Annapolis Rd, Odenton, MD 21113-1320 | 2020-05-20 |
| 1023641909 | Robert A. Pascal Youth and Family Services, Inc. | Community/Behavioral Health | 1215 Annapolis Rd Ste 204, Odenton, MD 21113-1351 | 2020-02-19 |
| 1437703139 | Robert A. Pascal Youth and Family Services, Inc. | Counselor | 1230 Annapolis Rd, Odenton, MD 21113-1320 | 2019-07-31 |
| 1811521347 | Robert A. Pascal Youth and Family Services, Inc. | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2020-02-24 |
| 1568094852 | Robert A. Pascal Youth and Family Services, Inc. | Clinic/Center | 43 Community Pl, Crownsville, MD 21032-2034 | 2020-02-05 |
| 1588218846 | Robert A. Pascal Youth and Family Services, Inc. | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2019-07-25 |
| 1134338015 | Robert A. Pascal Youth and Family Services, Inc. | Community/Behavioral Health | 570 Ritchie Hwy # H, Severna Park, MD 21146-2925 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Robert A. Pascal Youth and Family Services, Inc. | 1215 Annapolis Rd, 204, Denton, MD 21113-1344 |
| Street Address |
43 COMMUNITY PL |
| City | CROWNSVILLE |
| State | MD |
| Zip Code | 21032-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407992308 | Rosalee Ann Klingmeyer | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2007-01-29 |
| 1811506942 | Katherine Alexandra Werner | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2020-07-24 |
| 1811521347 | Robert A. Pascal Youth and Family Services, Inc. | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2020-02-24 |
| 1568094852 | Robert A. Pascal Youth and Family Services, Inc. | Clinic/Center | 43 Community Pl, Crownsville, MD 21032-2034 | 2020-02-05 |
| 1588218846 | Robert A. Pascal Youth and Family Services, Inc. | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2019-07-25 |
| 1902324130 | Freestate Health and Wellness, LLC | Nurse Practitioner | 43 Community Pl, Crownsville, MD 21032-2034 | 2017-09-08 |
| 1891227039 | Robert A. Pascal Youth & Family Services, Inc. | Community/Behavioral Health | 43 Community Pl, Crownsville, MD 21032-2034 | 2017-03-28 |
| 1548618374 | Robert A. Pascal Youth & Family Services, Inc. | Psychiatric Residential Treatment Facility | 43 Community Pl, Crownsville, MD 21032-2034 | 2016-06-02 |
| 1538427208 | Affiliated Sante Group | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2012-05-01 |
| 1962716852 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841498680 | Mary Elizabeth Bracken | Internal Medicine | 2015 Martins Grant Ct, Crownsville, MD 21032 | 2007-07-03 |
| 1225113061 | Addictions Recovery Inc | Rehabilitation, Substance Use Disorder Unit | 26 Marbury Rd, Crownsville, MD 21032 | 2006-10-26 |
| 1801809512 | Rodney A Floyd | Dentist | 1017 Generals Highway, Crownsville, MD 21032 | 2006-08-14 |
| 1053953372 | Indra Sidhu Dds | Clinic/Center | 208 Crain Hwy Sw, Glen Burnie, MD 21032 | 2019-10-09 |
| 1760995831 | Saundra Valera | Nurse Practitioner | 1454 Fairfield Loop Rd, Crownsville, MD 21032 | 2017-11-13 |
| 1871982611 | Addiction Recovery Inc | Counselor | 26 Marbury Dr, Crownsville, MD 21032 | 2015-01-16 |
| 1215290887 | Stephanie Ray | Occupational Therapist | 1454 Fairfield Loop Rd, Crownsville, MD 21032 | 2012-06-19 |
| 1861769499 | Michelle Marie Jones | Registered Nurse | 1122 Oak View Dr, Crownsville, MD 21032-1039 | 2011-11-28 |
| 1326518101 | Katherine Spohn Streett | Counselor | 1141 Sunrise Beach Rd, Crownsville, MD 21032-1126 | 2018-12-05 |
| 1598140865 | Guy Merritt Iv | Counselor | 813 Miner Rd, Crownsville, MD 21032-1203 | 2015-07-28 |
| Find all providers in zip 21032 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514736 | Reconnect Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2010 Saint Stephens Woods Dr, Crownsville, MD 21032-2200 | 2019-08-22 |
| 1851767982 | The Landing At Serenity, LLC | Substance Abuse Rehabilitation Facility | 2007 Saint Stephens Woods Dr, Crownsville, MD 21032-2200 | 2015-08-12 |
| 1053589242 | Second Genesis, Inc | Substance Abuse Rehabilitation Facility | 107 Circle Dr, Tarditional, Crownsville, MD 21032-2061 | 2008-02-11 |
| 1942281423 | Chrysalis House Inc | Substance Abuse Rehabilitation Facility | 1570 Crownsville Rd, Crownsville, MD 21032-2306 | 2005-11-10 |
| 1558881417 | Gaudenzia Inc | Substance Abuse Rehabilitation Facility | 107 Circle Dr, Crownsville, MD 21032-2061 | 2017-06-22 |
| 1316477573 | Chrysalis House, Inc. | Substance Abuse Rehabilitation Facility | 1570 Crownsville Rd, Crownsville, MD 21032-2306 | 2017-06-19 |
| 1750755351 | Gaudenzia, Inc. | Substance Abuse Rehabilitation Facility | 107 Circle Dr, Crownsville, MD 21032-2061 | 2015-11-19 |
| 1083007215 | Addiction Recovery, Inc. | Substance Abuse Rehabilitation Facility | 26 Marbury Dr, Crownsville, MD 21032-2065 | 2015-03-12 |
| 1447682646 | Chrysalis House, Inc | Substance Abuse Rehabilitation Facility | 1570 Crownsville Rd, Crownsville, MD 21032-2306 | 2013-07-30 |
| 1730486275 | Serenity Acres Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2015 Martins Grant Ct, Crownsville, MD 21032-1932 | 2011-02-18 |
| Find all providers in CROWNSVILLE | ||||
| City | CROWNSVILLE |
| Zip Code | 21032 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.