Organization · Type 2 NPI

Issiaih House 1

Substance Abuse Rehabilitation Facility · Baltimore, MD

NPI number 1275019580 Active

Practice location

2802 Harford Rd
Baltimore, MD 21218-4953

Call (443) 882-1943 Map

Fax (410) 558-6222

Mailing address

919 Calwell Rd
Baltimore, MD 21229-5006

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XBH000372 (MD)

Substance Abuse Rehabilitation Facility: 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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About NPI 1275019580

Issiaih House 1's National Provider Identifier is 1275019580, issued on Jul 19, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 14, 2019.