Issiaih House 1

LBN: Issiaih House 1
Issiaih House 1 is an health care organization with primary practice located at 1406B Crain Hwy S Ste 201 , Glen Burnie MD 21061-4336. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Issiaih House 1 can be contacted via phone (443) 882-1943, or through Braxton, Darryl via phone (443) 882-1943.

Contact Information

Primary practice address
1406B Crain Hwy S Ste 201 Glen Burnie MD 21061-4336
Phone: (443) 882-1943
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Braxton, Darryl LCAP, LCADC
Phone: (443) 882-1943

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1205460284
LBN Legal business name Issiaih House 1
DBA Doing business as
Authorized official Braxton, Darryl LCAP, LCADC
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 27th, 2020
Last updated Feb 27th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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