Organization
STEP UP FROM GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA MILBOURNE (CLINICAL DIRECTOR / OWNER)
(410) 831-1577
Entity
Organization
Contact information
Practice address
11600 BECKFORD AVE, PRINCESS ANNE, MD 21853-1152
(443) 868-4473
Mailing address
514 ROSE ST, SALISBURY, MD 21801-3587
(410) 831-1577
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
12/27/2023
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