Issaiah House 1

LBN: Issiaih House 1
Issaiah House 1 is an health care organization with primary practice located at 2802 Harford Rd , Baltimore MD 21218-4953. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Issiaih House 1 can be contacted via phone (443) 882-1943, or through Braxton, Darryl Edward via phone (443) 882-1943.

Contact Information

Primary practice address
2802 Harford Rd Baltimore MD 21218-4953
Phone: (443) 882-1943
Fax: (410) 558-6222
Website:
Map and Directions
Authorized official contact:
Name: Braxton, Darryl Edward LCPC, LCADC
Phone: (443) 882-1943

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH000372 Maryland

Profile Details

NPI number 1275019580
LBN Legal business name Issiaih House 1
DBA Doing business as Issaiah House 1
Authorized official Braxton, Darryl Edward LCPC, LCADC
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2018
Last updated Jun 14th, 2019 - about 6 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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