Organization
STEP BY STEP OF MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAJUAN M FORSEY (EXECUTIVE DIRECTOR)
(410) 744-5200
Entity
Organization
Contact information
Practice address
5616 PARK HEIGHTS AVE, BALTIMORE, MD 21215-3969
(410) 744-5200
(443) 708-4500
Mailing address
5616 PARK HEIGHTS AVE, BALTIMORE, MD 21215-3969
(410) 744-5200
(443) 708-4500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
Other
Enumeration date
05/05/2014
Last updated
10/27/2016
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