Issiaih House 1
Issiaih House 1 is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2018.
- Licensed in
- MD
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2802 Harford RdBaltimore, MD 21218-4953
Phone: (443) 882-1943
Fax: (410) 558-6222
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Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence BH000372 (MD) |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
Record details
| NPI number | 1275019580 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Issaiah House |
| Authorized official | Darryl Braxton — Director · (443) 882-1943 |
| Other names | Issaiah House 1 |
| NPI enumerated | July 19, 2018 |
| Last updated in NPPES | June 14, 2019 |
| Mailing address | 919 Calwell Rd, Baltimore, MD 21229-5006 |
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