# STEP BY STEP OF MARYLAND

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598175192
- **Authorized official:** MISS SHAJUAN M FORSEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (410) 744-5200

## Contact information

- **Practice address:** 5616 PARK HEIGHTS AVE, BALTIMORE, MD 21215-3969
- **Practice address phone:** (410) 744-5200
- **Practice address fax:** (443) 708-4500
- **Mailing address:** 5616 PARK HEIGHTS AVE, BALTIMORE, MD 21215-3969
- **Mailing address phone:** (410) 744-5200
- **Mailing address fax:** (443) 708-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | MD | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 10/27/2016