Provider Demographics
NPI:1386220226
Name:ISAIAH ASSOCIATES INC BEH HEALTH
Entity Type:Organization
Organization Name:ISAIAH ASSOCIATES INC BEH HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-618-6779
Mailing Address - Street 1:901 PHILADELPHIA RD STE E
Mailing Address - Street 2:
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-3198
Mailing Address - Country:US
Mailing Address - Phone:410-670-9010
Mailing Address - Fax:410-670-9013
Practice Address - Street 1:901 PHILADELPHIA RD STE E
Practice Address - Street 2:
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-3198
Practice Address - Country:US
Practice Address - Phone:410-670-9010
Practice Address - Fax:410-670-9013
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ISAIAH ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness