# ISB COMMUNITY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ISLAMIC SOCIETY OF BALTIMORE, MD, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043067655
- **Legal business name:** ISLAMIC SOCIETY OF BALTIMORE, MD, INC
- **Authorized official:** MS. FAJR KHOKHAR (PRACTICE MANAGER)
- **Authorized official phone:** (667) 802-0425

## Contact information

- **Practice address:** 6623 JOHNNYCAKE RD, WINDSOR MILL, MD 21244-2401
- **Practice address phone:** (410) 744-1690
- **Practice address fax:** (410) 744-1691
- **Mailing address:** 6631 JOHNNYCAKE RD, WINDSOR MILL, MD 21244-2401
- **Mailing address phone:** (410) 744-1690
- **Mailing address fax:** (410) 744-1691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 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