Organization
ISAIAH'S HOUSE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA BRYANT (FOUNDER OWNER)
(706) 330-8470
Entity
Organization
Contact information
Practice address
2301 BURNSIDE DR, COLUMBUS, GA 31907-3709
(706) 330-8470
Mailing address
2301 BURNSIDE DR, COLUMBUS, GA 31907-3709
(706) 330-8470
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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