Issaiah House Inc - Professional Counselor in Baltimore, Maryland | ProviderWire

Legal Business Name

Issaiah House Inc

NPI Number

1891278024

NPI Type

Organization

Enumeration Date

09/13/2018

Specialties

(Taxonomies)

Name

Professional Counselor

Code

101YP2500X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing

Location

Address

919 CALWELL RD

3808 EASTERN AVE

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21229-5006

21224-4221

Country

US

US

Telephone Number

(144) 388-2194

(443) 882-1943

Authorized Official

Name

Mr. Darryl Braxton

Title or Position

OWNER

Telephone Number

(443) 882-1943

Identifiers

Identifier

250016700

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/18/2021

Provider Address

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