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Issiaih House 1
Clinic/Center in Glen Burnie, Maryland
NPI 1205460284

Issiaih House 1 is a Clinic/Center based in Beltsville, MD. Issiaih House 1 practices in Glen Burnie, MD. The NPI Number for Issiaih House 1 is 1205460284 and holds a License No. (Maryland).

The current practice location address for Issiaih House 1 is 1406B Crain Hwy S Ste 201, Glen Burnie, MD and can be reached out via phone at 443-882-1943. You can also correspond with Issiaih House 1 through the mailing address at 4313 BRIGGS CHANEY RD, BELTSVILLE, MD - 20705-1044 (mailing address contact number: 443-882-1943).

Location: 1406B Crain Hwy S Ste 201, Glen Burnie, MD, 20705-1044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205460284
Provider Name
Issiaih House 1
Credential
Provider Entity Type
Organization
Address
1406B Crain Hwy S Ste 201, Glen Burnie, MD, 20705-1044
Phone Number
443-882-1943
Fax Number
Provider Enumeration Date
02/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1406B Crain Hwy S Ste 201
City
Glen Burnie
State
Maryland
Zip
21061-4336
Phone Number
443-882-1943
Fax Number
person
Provider Business Mailing Address Details
Address
1406B Crain Hwy S Ste 201
City
Glen Burnie
State
Maryland
Zip
21061-4336
Phone Number
443-882-1943
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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