Provider Demographics
NPI:1023242781
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:410-519-1209
Mailing Address - Street 1:2501 HAL CIR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2621
Mailing Address - Country:US
Mailing Address - Phone:410-977-9555
Mailing Address - Fax:410-519-1208
Practice Address - Street 1:2112 MARYLAND AVE
Practice Address - Street 2:BASEMENT OFFICE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5624
Practice Address - Country:US
Practice Address - Phone:443-388-9530
Practice Address - Fax:443-388-9535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD421392102Medicaid
MD412392101Medicaid