Provider Demographics
NPI:1265630800
Name:HUMAN SERVICES, INC.
Entity Type:Organization
Organization Name:HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:EISENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LCSW-C
Authorized Official - Phone:410-977-9555
Mailing Address - Street 1:1215 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1344
Mailing Address - Country:US
Mailing Address - Phone:410-519-1209
Mailing Address - Fax:410-519-1208
Practice Address - Street 1:1215 ANNAPOLIS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1344
Practice Address - Country:US
Practice Address - Phone:410-519-1209
Practice Address - Fax:410-519-1208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD036141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4123921 00Medicaid