Provider Demographics
NPI:1538691787
Name:ROBERT A. PASCAL YOUTH & FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:ROBERT A. PASCAL YOUTH & FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BONINCONTRI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-980-5537
Mailing Address - Street 1:570 RITCHIE HWY STE H
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2925
Mailing Address - Country:US
Mailing Address - Phone:410-975-0067
Mailing Address - Fax:
Practice Address - Street 1:570 RITCHIE HWY STE H
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-2925
Practice Address - Country:US
Practice Address - Phone:410-975-0067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH2289251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health