Organization · NPI-2

Step-Up Empowerment Services, LLC.

Clinic/Center, Rehabilitation, Substance Use Disorder · Waldorf, MD

NPI number1144004433
StatusActive
Last updated in NPPESAug 21, 2023

Details

NPI
1144004433
Entity type
Organization (NPI-2)
Legal business name
Step-Up Empowerment Services, LLC.
Organization subpart
No
Enumeration date
Aug 21, 2023
Certification date
Aug 20, 2023
Last updated
Aug 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
324500000X Substance Abuse Rehabilitation Facility––
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children––

Practice location

2670 Crain Hwy Ste 105&103
Waldorf, MD 20601-2806

Phone 240-346-4285

Mailing address

2670 Crain Hwy Ste 105
Waldorf, MD 20601-2820

Phone 240-607-9294

Authorized official

Natasha Abbott
Owner
2403464285

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