| Step Up From Grace | |
|
514 Rose St Salisbury MD 21801-3587 | |
| (410) 831-1577 | |
| Not Available |
| Full Name | Step Up From Grace |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 514 Rose St, Salisbury, Maryland |
| Authorized Official Name and Position | Latisha Nichole Milbourne (OWNER) |
| Authorized Official Contact | 4108311577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Up From Grace 514 Rose St Salisbury MD 21801-3587 Ph: () - | Step Up From Grace 514 Rose St Salisbury MD 21801-3587 Ph: (410) 831-1577 |
| NPI Number | 1669136933 |
|---|---|
| Provider Enumeration Date | 10/23/2021 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669136933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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