Provider Demographics
NPI:1356927297
Name:PROGRESSIVE STEPS, INC.
Entity type:Organization
Organization Name:PROGRESSIVE STEPS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:O
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-220-5450
Mailing Address - Street 1:3100 LORD BALTIMORE DR STE 205
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2879
Mailing Address - Country:US
Mailing Address - Phone:443-200-5450
Mailing Address - Fax:410-944-6174
Practice Address - Street 1:3100 LORD BALTIMORE DR STE 205
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2879
Practice Address - Country:US
Practice Address - Phone:443-200-5450
Practice Address - Fax:410-944-6174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health