| Jude House, Inc | |
|
9400 Irving Rd Bel Alton MD 20611-3148 | |
| (301) 932-0700 | |
| Not Available |
| Full Name | Jude House, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9400 Irving Rd, Bel Alton, Maryland |
| Authorized Official Name and Position | Susie Thompson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3019320700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jude House, Inc 9400 Irving Rd Bel Alton MD 20611-3148 Ph: (301) 932-0700 | Jude House, Inc 9400 Irving Rd Bel Alton MD 20611-3148 Ph: (301) 932-0700 |
| NPI Number | 1376901579 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376901579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |