Provider Demographics
NPI:1750775870
Name:BUILDING COMMUNITIES TODAY FOR TOMORROW INC.
Entity type:Organization
Organization Name:BUILDING COMMUNITIES TODAY FOR TOMORROW INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CEDRIC
Authorized Official - Middle Name:LEMAR
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-467-6600
Mailing Address - Street 1:2901 DRUID PARK DR STE A207
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-8135
Mailing Address - Country:US
Mailing Address - Phone:410-467-6600
Mailing Address - Fax:410-225-9110
Practice Address - Street 1:2901 DRUID PARK DR STE A207
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-8135
Practice Address - Country:US
Practice Address - Phone:410-467-6600
Practice Address - Fax:410-225-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD765320400Medicaid