Organization
STEP UP FROM GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA NICHOLE MILBOURNE LCADC/LCPC (OWNER)
(410) 831-1577
Entity
Organization
Contact information
Practice address
514 ROSE ST, SALISBURY, MD 21801-3587
(410) 831-1577
Mailing address
514 ROSE ST, SALISBURY, MD 21801-3587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/23/2021
Last updated
12/27/2023
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