Healthcare Provider Details

I. General information

NPI: 1124245329
Provider Name (Legal Business Name): BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30049 BUSINESS CENTER DRIVE
CHARLOTTE HALL MD
20622
US

IV. Provider business mailing address

3300 GAITHER ROAD
BALTIMORE MD
21244
US

V. Phone/Fax

Practice location:
  • Phone: 301-884-0312
  • Fax: 301-274-4039
Mailing address:
  • Phone: 410-922-2100
  • Fax: 301-274-4039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: THOMAS L. CURCIO
Title or Position: PRESIDENT & CEO
Credential:
Phone: 410-922-2100