Provider Demographics
NPI:1679533905
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:410-628-6210
Mailing Address - Fax:410-628-9825
Practice Address - Street 1:7801 YORK RD
Practice Address - Street 2:SUITE 203
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7446
Practice Address - Country:US
Practice Address - Phone:999-999-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101834261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD327609OtherVALUE OPTIONS
MD766211400Medicaid
MD116651403Medicaid
MD236380OtherAMERIGROUP