Provider Demographics
NPI:1437353513
Name:BOARD OF CHILDCARE OF THE UNITED METHODIST CHURCH INC
Entity Type:Organization
Organization Name:BOARD OF CHILDCARE OF THE UNITED METHODIST CHURCH INC
Other - Org Name:STRAWBRIDGE SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:CURCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-922-2100
Mailing Address - Street 1:3300 GAITHER RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2916
Mailing Address - Country:US
Mailing Address - Phone:410-922-2100
Mailing Address - Fax:410-496-5618
Practice Address - Street 1:3300 GAITHER RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2916
Practice Address - Country:US
Practice Address - Phone:410-922-2100
Practice Address - Fax:410-496-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07885251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD056790600Medicaid