| Positive Steps Llc Substance Abuse | |
|
5710 Bellona Ave Suite 102 Baltimore MD 21212-3500 | |
| (410) 878-6404 | |
| (410) 779-9147 |
| Full Name | Positive Steps Llc Substance Abuse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5710 Bellona Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Tyrone Willoughby (QA DIRECTOR) |
| Authorized Official Contact | 4103538954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Steps Llc Substance Abuse 5710 Bellona Ave Suite 102 Baltimore MD 21212-3500 Ph: (410) 878-6404 | Positive Steps Llc Substance Abuse 5710 Bellona Ave Suite 102 Baltimore MD 21212-3500 Ph: (410) 878-6404 |
| NPI Number | 1376997544 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376997544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100725 (Maryland) | Primary |
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