Organization
FIRST STEP TO RECOVERY TREATMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS THELMA PAINE APRN,FNP-BC (NURSE PRACTITIONER)
(410) 513-6501
Entity
Organization
Contact information
Practice address
232 COCKEYSVILLE RD STE A202, COCKEYSVILLE, MD 21030-2241
(410) 513-6501
Mailing address
232 COCKEYSVILLE RD STE A202, COCKEYSVILLE, MD 21030-2241
(410) 513-6501
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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