Organization
MISSION HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSY CHISOLM (DIRECTOR)
(516) 314-8460
Entity
Organization
Contact information
Practice address
204 BROWN ST, CHESTERTOWN, MD 21620-1402
(516) 314-8460
Mailing address
417 N BROOK DR, CENTREVILLE, MD 21617-2762
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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