Healthcare Provider Details
I. General information
NPI: 1811521404
Provider Name (Legal Business Name): CENTER FOR CHILDREN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2020
Last Update Date: 02/24/2020
Certification Date: 02/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4550 FORBES BLVD STE 350
LANHAM MD
20706-4394
US
IV. Provider business mailing address
PO BOX 2924
LA PLATA MD
20646-2984
US
V. Phone/Fax
- Phone: 301-609-9887
- Fax:
- Phone: 301-609-9887
- Fax: 301-609-9091
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CATHERINE
MEYERS
Title or Position: EXECUTIVE DIRECTOR
Credential: LCPC
Phone: 301-609-9887