| Ibh | |
|
120 Sister Pierre Dr Ste 205 Towson MD 21204-7525 | |
| (443) 288-0098 | |
| Not Available |
| Full Name | Ibh |
|---|---|
| Speciality | Social Worker |
| Location | 120 Sister Pierre Dr Ste 205, Towson, Maryland |
| Authorized Official Name and Position | Darrell Jamison (CEO / PRESIDENT) |
| Authorized Official Contact | 4437651458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibh 120 Sister Pierre Dr Ste 205 Towson MD 21204-7525 Ph: (443) 288-0098 | Ibh 120 Sister Pierre Dr Ste 205 Towson MD 21204-7525 Ph: (443) 288-0098 |
| NPI Number | 1033738927 |
|---|---|
| Provider Enumeration Date | 04/11/2020 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Medicare PECOS PAC ID | 2961833884 |
|---|---|
| Medicare Enrollment ID | O20200511000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033738927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Darrell Jamison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477024883 PECOS PAC ID: 3870924798 Enrollment ID: I20200511000037 |
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