Provider Demographics
NPI:1528582269
Name:STETH CORPORATION
Entity Type:Organization
Organization Name:STETH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PECOLIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-718-3224
Mailing Address - Street 1:2021 HANSON RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-2539
Mailing Address - Country:US
Mailing Address - Phone:410-718-3224
Mailing Address - Fax:
Practice Address - Street 1:661 HARR PARK CT
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-2553
Practice Address - Country:US
Practice Address - Phone:410-718-3224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health