| House Of Jude Childrens Services | |
|
374 Shagbark Rd Middle River MD 21220-3904 | |
| (410) 325-1278 | |
| (443) 836-0405 |
| Full Name | House Of Jude Childrens Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 374 Shagbark Rd, Middle River, Maryland |
| Authorized Official Name and Position | Terri Mitchell (BILLING MANAGER) |
| Authorized Official Contact | 4103251278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Jude Childrens Services Po Box 9564 Rosedale MD 21237-0564 Ph: (410) 325-1278 | House Of Jude Childrens Services 374 Shagbark Rd Middle River MD 21220-3904 Ph: (410) 325-1278 |
| NPI Number | 1033390174 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033390174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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