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Organization

ISB COMMUNITY HEALTH CLINIC

Active
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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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
05/01/2024
Last updated
05/01/2024
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