Organization
HOUSE OF JUDE CHILDRENS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI MITCHELL (BILLING MANAGER)
(410) 325-1278
Entity
Organization
Contact information
Practice address
374 SHAGBARK RD, MIDDLE RIVER, MD 21220-3904
(410) 325-1278
(443) 836-0405
Mailing address
PO BOX 9564, ROSEDALE, MD 21237-0564
(410) 325-1278
(443) 836-0405
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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