Provider Demographics
NPI:1184598179
Name:DAMASCUS HOUSE INC
Entity type:Organization
Organization Name:DAMASCUS HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMARTINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-789-7446
Mailing Address - Street 1:4203 RITCHIE HWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MD
Mailing Address - Zip Code:21225-2705
Mailing Address - Country:US
Mailing Address - Phone:410-789-7446
Mailing Address - Fax:
Practice Address - Street 1:4203 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MD
Practice Address - Zip Code:21225-2705
Practice Address - Country:US
Practice Address - Phone:410-789-7446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty