Organization · Type 2 NPI

Issiaih House 1

Clinic/Center · Glen Burnie, MD

NPI number 1568096428 Active

Practice location

2301 Dorsey Rd
Glen Burnie, MD 21061-3299

Call (443) 882-1943 Map

Mailing address

4313 Briggs Chaney Rd
Beltsville, MD 20705-1044

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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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About NPI 1568096428

Issiaih House 1's National Provider Identifier is 1568096428, issued on Feb 28, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Glen Burnie, MD. The record was last updated on Feb 28, 2020.