Organization
PROGRESSIVE STEPS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY O. PITTMAN (CHIEF EXECUTIVE OFFICER)
(443) 938-8840
Entity
Organization
Contact information
Practice address
3100 LORD BALTIMORE DR # 205, WINDSOR MILL, MD 21244-2879
(443) 938-8840
(410) 944-6174
Mailing address
3100 LORD BALTIMORE DR STE 205, BALTIMORE, MD 21244-2879
(443) 938-8840
(410) 944-6174
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/14/2020
Last updated
08/25/2021
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