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TAKE CHARGE JUVENILE DIVERSION PROGRAM, INC.
NPI 1407284995
Community/Behavioral Health in Forestville, MD

Active since October 22, 2013
7610 PENNSYLVANIA AVE, SUITE 300, FORESTVILLE, MD 20747(301) 420-7395(301) 420-7397 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Take Charge Juvenile Diversion Program, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAKE CHARGE JUVENILE DIVERSION PROGRAM, INC. (NPI 1407284995) is a healthcare organization registered as a community/behavioral health in Forestville, Maryland and active in the NPI registry since October 2013. The organization lists Terrah Jerrod Mustaf, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407284995
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTAKE CHARGE JUVENILE DIVERSION PROGRAM, INC.
Location Address7610 PENNSYLVANIA AVE, SUITE 300Forestville, MD 20747-4701
Mailing Address7610 Pennsylvania Ave, Suite 300Forestville, MD 20747-4701 · (301) 420-7395 · Fax (301) 420-7397
Phone(301) 420-7395
Fax(301) 420-7397
Organization SubpartNo
Authorized OfficialTerrah Jerrod MustafExecutive Director · (301) 420-7395
Enumeration DateOctober 22, 2013
Last NPPES UpdateNovember 27, 2013
✔ NPI 1407284995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
7610 PENNSYLVANIA AVE, Forestville, MD 20747
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IBRAHIM I.M. SALIH M.D.
Clinic/Center (Primary Care)
7610 PENNSYLVANIA AVE, SUITE 200
FORESTVILLE, MD 20747
Prince George's County (301) 817-3001
WARNER IMPLANT, TMD, & SLEEP APNEA CENTER
Clinic/Center (Dental)
7610 PENNSYLVANIA AVE, SUITE 302
FORESTVILLE, MD 20747
Prince George's County (301) 735-5137
WALTROUS REHABILITATION MEDICINE ASSOCIATES LLC
Clinic/Center (Medical Specialty)
7610 PENNSYLVANIA AVE
DISTRICT HEIGHTS, MD 20747
Prince George's County (301) 817-3001
BASICS GROUP PRACTICE, LLC
Psychologist (Clinical)
7610 PENNSYLVANIA AVE, SUITE #203
FORESTVILLE, MD 20747
Prince George's County (301) 420-1972
JOHN WILSON III
Dentist (General Practice)
7610 PENNSYLVANIA AVE
FORESTVILLE, MD 20747
Prince George's County (301) 568-4800
BASICS GROUP PRACTICE LLC
Social Worker (Clinical)
7610 PENNSYLVANIA AVE, 103
FORESTVILLE, MD 20747
Prince George's County (443) 254-0966
DR. HAROLD OLIVER ALEXANDER MD
Obstetrics & Gynecology
7610 PENNSYLVANIA AVE, SUITE 305
FORESTVILLE, MD 20747
Prince George's County (301) 669-1870
ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC.
Prosthetic/Orthotic Supplier
7610 PENNSYLVANIA AVE, SUITE 303
FORESTVILLE, MD 20747
Prince George's County (410) 546-5502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Take Charge Juvenile Diversion Program, Inc.'s NPI number?

The NPI number for Take Charge Juvenile Diversion Program, Inc. is 1407284995. It was assigned to this organization in the NPPES registry on October 22, 2013.

Where is Take Charge Juvenile Diversion Program, Inc. located?

Take Charge Juvenile Diversion Program, Inc. is located at 7610 Pennsylvania Ave Suite 300, Forestville, MD 20747. The listed phone number is (301) 420-7395.

What is Take Charge Juvenile Diversion Program, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Take Charge Juvenile Diversion Program, Inc. was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.