Healthcare Provider Details

I. General information

NPI: 1053065912
Provider Name (Legal Business Name): CENTER FOR CHILDREN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 RADIO STATION RD
LA PLATA MD
20646-3314
US

IV. Provider business mailing address

PO BOX 2924
LA PLATA MD
20646-2984
US

V. Phone/Fax

Practice location:
  • Phone: 301-609-9887
  • Fax: 301-609-9091
Mailing address:
  • Phone: 301-609-9887
  • Fax: 301-609-9091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE MEYERS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 301-609-9887