The House Of Jude Behavioral Health Services
LBN: The House Of Jude Children Services
The House Of Jude Behavioral Health Services is an health care organization with primary practice located at 420 E. 25Th Street , Baltimore MD 21218. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
The House Of Jude Children Services can be contacted via phone (410) 705-1331, or through Augustson, Edith via phone (410) 705-1331.
Contact Information
Primary practice address
420 E. 25Th Street
Baltimore MD 21218
Phone: (410) 705-1331
Fax: (410) 938-2237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | NCC-93405 | Maryland |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | LC-2284 | Maryland |
Profile Details
| NPI number | 1376701193 |
|---|---|
| LBN Legal business name | The House Of Jude Children Services |
| DBA Doing business as | The House Of Jude Behavioral Health Services |
| Authorized official | Augustson, Edith NCC, LCPC, LCADC |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 29th, 2008 |
| Last updated | May 3rd, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376701193 | NPPES |
| Maryland | MEDICAID | 414755300 | |
| Maryland | MEDICAID | 411699201 |
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