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Organization
EPIPHANY FAMILY SERVICES MARYLAND LLC
Active
Organization
EPIPHANY FAMILY SERVICES MARYLAND LLC
Active
Other names
Next Step Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ESTREET (CEO)
(443) 873-7193
Entity
Organization
Contact information
Practice address
3301 BELAIR RD STE 2, BALTIMORE, MD 21213-1257
(410) 873-7193
(410) 630-7882
Mailing address
3301 BELAIR RD STE 2, BALTIMORE, MD 21213-1257
(443) 873-7193
(410) 630-7882
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104326487
—
MD
Enumeration date
09/11/2019
Last updated
11/27/2023
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