| NPI | 1437846623 |
|---|---|
| Other Name | ISSAIAH HOUSE INC |
| Entity Type | Organization |
| Authorized Contact | DARRYL EDWARD BRAXTON Owner 144-388-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |