Provider Demographics
NPI:1902294077
Name:STEPPING STONE RECOVERY HOUSES, LLC.
Entity type:Organization
Organization Name:STEPPING STONE RECOVERY HOUSES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-837-3600
Mailing Address - Street 1:348 THOMPSON CREEK MALL
Mailing Address - Street 2:SUITE 342
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2500
Mailing Address - Country:US
Mailing Address - Phone:410-837-3600
Mailing Address - Fax:410-837-0440
Practice Address - Street 1:348 THOMPSON CREEK MALL
Practice Address - Street 2:SUITE 342
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2500
Practice Address - Country:US
Practice Address - Phone:410-837-3600
Practice Address - Fax:410-837-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-24
Last Update Date:2014-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility