Provider Demographics
NPI:1013508712
Name:THE CHILDREN'S GUILD, INC
Entity Type:Organization
Organization Name:THE CHILDREN'S GUILD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:RAELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENESES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-996-8187
Mailing Address - Street 1:7 N CALVERT ST APT 903
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2254
Mailing Address - Country:US
Mailing Address - Phone:443-852-1141
Mailing Address - Fax:
Practice Address - Street 1:410 E JEFFREY ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-2040
Practice Address - Country:US
Practice Address - Phone:410-269-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty