=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124567854
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHILDREN'S CHOICE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/14/2017
-----------------------------------------------------
Last Update Date | 05/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9900 FRANKLIN SQUARE DR STE A
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21236-5915
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-319-9681
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9900 FRANKLIN SQUARE DR STE A
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21236-5915
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-319-9681
-----------------------------------------------------
Fax | 410-319-9688
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SECRETARY
-----------------------------------------------------
Name | MARY STOKES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 410-643-9290
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 385HR2055X
-----------------------------------------------------
Taxonomy Name | Child Mental Illness Respite Care
-----------------------------------------------------
License Number | MH-2200
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------