The House Of Jude in Middle River - Mental Health (including Community Mental Health Center)
The House Of Jude - NPI 1376701193
The House Of Jude is a Mental Health (including Community Mental Health Center) in Middle River, Maryland. The House Of Jude practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for The House Of Jude is 1376701193. The last update date is 2011-04-15.
The House Of Jude's current location address is P.o. Box 5004, Middle River, Maryland. You can contact this provider via phone number 4107051331 and fax number 4109382237. The mailing address for The House Of Jude is P.o. Box 5004, Middle River, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The House Of Jude |
|---|---|
| Address | P.o. Box 5004, Middle River, Maryland |
| Phone Number | 4107051331 |
| Fax Number | 4109382237 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Augustson M. Edith |
| Credentials | NCC, LCPC, |
| Telephone Number | 4107051331 |
NPI Number Detail
| NPI Number | 1376701193 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2011-04-15 |
Provider Mailing Address Detail
| Address | P.o. Box 5004 |
|---|---|
| City | Middle River |
| State | Maryland (MD) |
| Post Code | 21220 |
| Phone Number | 4107051331 |
| Fax Number | 4109382237 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | LC-2284 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 414755300 | MD | -- | |
| 411699201 | MD | -- |
Post Comment/ Review Below
What is the The House Of Jude's unique identification number?
The The House Of Jude has been assigned the NPI (National Provider Identifier) Number 1376701193 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where The House Of Jude's facilities are situated?
The facilities of The House Of Jude are physically located at the following address: P.O. Box 5004, Middle River, MD, 21220.
What is The House Of Jude's specialized field of practice, and what is the corresponding taxonomy classification code?
The The House Of Jude's area of specialization is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this field of practice is 261Qm0801X.
When did the The House Of Jude receive its 1376701193?
The The House Of Jude was issued its 1376701193 on 2008-05-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to The House Of Jude most recently updated or revised?
The information pertaining to The House Of Jude, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-15.