Healthcare Provider Details

I. General information

NPI: 1144499674
Provider Name (Legal Business Name): STEP N 2 RECOVERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 PRINCE FREDERICK BLVD
PRINCE FREDERICK MD
20678-3908
US

IV. Provider business mailing address

1010 PRINCE FREDERICK BLVD
PRINCE FREDERICK MD
20678-3908
US

V. Phone/Fax

Practice location:
  • Phone: 443-607-6207
  • Fax: 443-968-2030
Mailing address:
  • Phone: 443-607-6207
  • Fax: 443-968-2030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number903423
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number903423
License Number StateMD

VIII. Authorized Official

Name: MS. KAREN ELIZABETH SESSOMS
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: MHS CSC-AD
Phone: 443-607-6207