MEDICARE: STEPPING STONE TREATMENT PROGRAM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	4093143	MD

General Provider Information

NPI Number	:	1023148046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPPING STONE TREATMENT PROGRAM INC

Provider Business Mailing Address
First Line	:	6925 MT. PISGAH ROAD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903
Country	:	US
Telephone Number	:	301-445-4250
Fax Number	:

Provider Business Practice Location Address
First Line	:	9652 MT. PISGAH ROAD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903
Country	:	US
Telephone Number	:	301-445-4250
Fax Number	:

Authorized Official
Title or Position	:	EX. DIRECTOR
Name	:	MR. JOHN R. CLAYE
Credential	:	CAC-AD, CAS
Telephone Number	:	301-445-4250

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/22/2020

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