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Organization

FIRST STEP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY BITTINGER (BUSINESS OPERATIONS MANAGER)
(410) 628-6120
Entity
Organization

Contact information

Practice address
7801 YORK RD, SUITE 203, TOWSON, MD 21204-7446
(999) 999-9999
Mailing address
10400 RIDGLAND RD, SUITE 1, COCKEYSVILLE, MD 21030-2715
(410) 628-6210
(410) 628-9825

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
101834
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116651403
MD
01
236380
AMERIGROUP
MD
01
327609
VALUE OPTIONS
MD
05
766211400
MD
Enumeration date
03/23/2006
Last updated
12/03/2014
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