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, ROOM C44, 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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
904257
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116651400
—
MD
01
—
BA37
BCBS MARYLAND
—
01
—
R583
BCBS GHMSI (DC)
—
Enumeration date
06/12/2007
Last updated
12/03/2014
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