Provider Demographics
NPI:1720450729
Name:THE HOUSE OF NEHEMIAH
Entity Type:Organization
Organization Name:THE HOUSE OF NEHEMIAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND BUSINESS DE
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MFS
Authorized Official - Phone:443-529-9987
Mailing Address - Street 1:3300 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-2616
Mailing Address - Country:US
Mailing Address - Phone:443-819-0519
Mailing Address - Fax:
Practice Address - Street 1:3300 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2616
Practice Address - Country:US
Practice Address - Phone:443-819-0519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility