Organization
POSITIVE STEPS LLC SUBSTANCE ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE WILLOUGHBY JR. LCSW-C (QA DIRECTOR)
(410) 353-8954
Entity
Organization
Contact information
Practice address
5710 BELLONA AVE, SUITE 102, BALTIMORE, MD 21212-3500
(410) 878-6404
(410) 779-9147
Mailing address
5710 BELLONA AVE, SUITE 102, BALTIMORE, MD 21212-3500
(410) 878-6404
(410) 779-9147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100725
MD
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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