NPI | 1376701193 |
---|---|
Doing Business As | THE HOUSE OF JUDE BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | EDITH AUGUSTSON Owner 410-705-1331 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD LC-2284) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: MD NCC-93405) | |
Enumeration Date | 2008-05-29 |
Last Update Date | 2024-05-03 |