Provider Demographics
NPI:1376901579
Name:THE JUDE HOUSE, INC.
Entity Type:Organization
Organization Name:THE JUDE HOUSE, INC.
Other - Org Name:JUDE HOUSE, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:301-932-0700
Mailing Address - Street 1:9400 IRVING RD
Mailing Address - Street 2:
Mailing Address - City:BEL ALTON
Mailing Address - State:MD
Mailing Address - Zip Code:20611-3148
Mailing Address - Country:US
Mailing Address - Phone:301-932-0700
Mailing Address - Fax:
Practice Address - Street 1:9400 IRVING RD
Practice Address - Street 2:
Practice Address - City:BEL ALTON
Practice Address - State:MD
Practice Address - Zip Code:20611-3148
Practice Address - Country:US
Practice Address - Phone:301-932-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health