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Organization
ISB COMMUNITY HEALTH CLINIC
Active
Organization
ISB COMMUNITY HEALTH CLINIC
Active
Parent organization
ISLAMIC SOCIETY OF BALTIMORE, MD, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISLAMIC SOCIETY OF BALTIMORE, MD, INC
Authorized official
MS. FAJR KHOKHAR (PRACTICE MANAGER)
(667) 802-0425
Entity
Organization
Contact information
Practice address
6623 JOHNNYCAKE RD, WINDSOR MILL, MD 21244-2401
(410) 744-1690
(410) 744-1691
Mailing address
6631 JOHNNYCAKE RD, WINDSOR MILL, MD 21244-2401
(410) 744-1690
(410) 744-1691
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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