| NPI | 1205460284 |
|---|---|
| Doing Business As | ISSAIAH HOUSE 1 INC |
| Entity Type | Organization |
| Authorized Contact | DARRYL BRAXTON Owner 443-882-1943 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |