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Issiaih House 1
Substance Abuse Rehabilitation Facility in Baltimore, Maryland
NPI 1275019580

Issiaih House 1 is a Substance Abuse Rehabilitation Facility based in Baltimore, MD. Issiaih House 1 practices in Baltimore, MD. The NPI Number for Issiaih House 1 is 1275019580 and holds a License No. (Maryland).

The current practice location address for Issiaih House 1 is 2802 Harford Rd, Baltimore, MD and can be reached out via phone at 443-882-1943 and via fax at 410-558-6222.

Location: 2802 Harford Rd, Baltimore, MD, 21229-5006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275019580
Provider Name
Issiaih House 1
Credential
Provider Entity Type
Organization
Address
2802 Harford Rd, Baltimore, MD, 21229-5006
Phone Number
443-882-1943
Fax Number
410-558-6222
Provider Enumeration Date
07/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2802 Harford Rd
City
Baltimore
State
Maryland
Zip
21218-4953
Phone Number
443-882-1943
Fax Number
410-558-6222
person
Provider Business Mailing Address Details
Address
2802 Harford Rd
City
Baltimore
State
Maryland
Zip
21218-4953
Phone Number
443-882-1943
Fax Number
410-558-6222
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
BH000372 (Maryland)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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