Provider Demographics
NPI:1326450289
Name:IN HIS NAME JUSTICE, EDUCATION & SOCIAL SERVICES
Entity Type:Organization
Organization Name:IN HIS NAME JUSTICE, EDUCATION & SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEUCTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LOIS
Authorized Official - Last Name:GALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-480-4305
Mailing Address - Street 1:1903 BELLE HAVEN DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4054
Mailing Address - Country:US
Mailing Address - Phone:240-480-4305
Mailing Address - Fax:
Practice Address - Street 1:1903 BELLE HAVEN DR
Practice Address - Street 2:SUITE 202
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4054
Practice Address - Country:US
Practice Address - Phone:240-480-4305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies