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
3525 RESOURCE DR, RANDALLSTOWN, MD 21133-4733
(999) 999-9999
Mailing address
10400 RIDGLAND RD, SUITE 1, COCKEYSVILLE, MD 21030-2715
(410) 628-6120
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353941500
—
MD
Enumeration date
04/09/2009
Last updated
12/03/2014
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