Provider Demographics
NPI:1285312678
Name:STEPPING STONE TREATMENT PROGRAM CENTER
Entity type:Organization
Organization Name:STEPPING STONE TREATMENT PROGRAM CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIROZ-FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-330-3609
Mailing Address - Street 1:12 E DIAMOND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-5326
Mailing Address - Country:US
Mailing Address - Phone:301-366-0226
Mailing Address - Fax:
Practice Address - Street 1:12 E DIAMOND AVE STE A
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-5326
Practice Address - Country:US
Practice Address - Phone:301-366-0226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty