Organization
SABANOH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IYAMIDE O HOUSE LPC (PRESIDENT)
(845) 282-6155
Entity
Organization
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-3622
(845) 282-6155
Mailing address
14558 LONDON LN, BOWIE, MD 20715-2557
(845) 282-6155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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