Provider Demographics
NPI:1720230592
Name:CARE SOLUTIONS CORPORATION
Entity Type:Organization
Organization Name:CARE SOLUTIONS CORPORATION
Other - Org Name:YOUTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CHAIRMAN/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EBELECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:ELOCHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-764-1225
Mailing Address - Street 1:PO BOX 19616
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-0616
Mailing Address - Country:US
Mailing Address - Phone:877-828-8419
Mailing Address - Fax:
Practice Address - Street 1:300 E LOMBARD ST STE 840
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3231
Practice Address - Country:US
Practice Address - Phone:877-828-8419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21919251S00000X
261Q00000X, 261QC1500X, 261QM0801X, 261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD410648200Medicaid