MEDICARE: STEP BY STEP OF MARYLAND

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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1528721792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP BY STEP OF MARYLAND

Provider Business Mailing Address
First Line	:	5616 PARK HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-3969
Country	:	US
Telephone Number	:	410-744-5200
Fax Number	:	443-708-4500

Provider Business Practice Location Address
First Line	:	5608 PARK HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-3928
Country	:	US
Telephone Number	:	410-744-5200
Fax Number	:	443-708-4500

Authorized Official
Title or Position	:	CEO
Name	:	SHAJUAN M FORSEY
Credential	:
Telephone Number	:	410-744-5200

Provider Enumeration Date	:	10/14/2021
Last Update Date	:	10/14/2021

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Directions to “STEP BY STEP OF MARYLAND ” Practice Location

Language	Start Address	Practice Location

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