Provider Demographics
NPI:1114330719
Name:ISAIAH ASSOCIATES INC
Entity Type:Organization
Organization Name:ISAIAH ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:ENYINDAH
Authorized Official - Last Name:CHUKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-585-9019
Mailing Address - Street 1:113 E 25TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5248
Mailing Address - Country:US
Mailing Address - Phone:410-585-9019
Mailing Address - Fax:410-585-9018
Practice Address - Street 1:113 E 25TH ST STE 1
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5248
Practice Address - Country:US
Practice Address - Phone:410-585-9019
Practice Address - Fax:410-585-9018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility