| The Jude House, Inc. | |
| 
					9400 Irving Rd Bel Alton MD 20611-3148  | |
| (301) 932-0700 | |
| Not Available | 
| Full Name | The Jude House, Inc. | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 9400 Irving Rd, Bel Alton, Maryland | 
| Authorized Official Name and Position | Susie Thompson (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 3019320700 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| The Jude House, Inc. 9400 Irving Rd Bel Alton MD 20611-3148 Ph: (301) 932-0700  | The Jude House, Inc. 9400 Irving Rd Bel Alton MD 20611-3148 Ph: (301) 932-0700  | 
| NPI Number | 1376901579 | 
|---|---|
| Provider Enumeration Date | 02/02/2016 | 
| Last Update Date | 09/13/2023 | 
| Certification Date | 09/13/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376901579 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |