Provider Demographics
NPI:1386848661
Name:FIRST STEP, INC.
Entity Type:Organization
Organization Name:FIRST STEP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-628-6120
Mailing Address - Street 1:10400 RIDGLAND RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2715
Mailing Address - Country:US
Mailing Address - Phone:410-628-6120
Mailing Address - Fax:
Practice Address - Street 1:100 OWINGS CT
Practice Address - Street 2:SUITE 8
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-6428
Practice Address - Country:US
Practice Address - Phone:410-526-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD904255261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD116651401Medicaid
BA37OtherBCBS MARYLAND
R583OtherBCBS GHMSI (DC)