# STEP UP ON SECOND ACT PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235395096
- **Authorized official:** MS. MICHELLE A. JENSEN M.S. (CLINICAL CASE MANGER)
- **Authorized official phone:** (715) 212-6855

## Contact information

- **Practice address:** 3435 OCEAN PARK BLVD, SANTA MONICA, CA 90405-3301
- **Practice address phone:** (310) 392-9474
- **Mailing address:** 3435 OCEAN PARK BLVD, SANTA MONICA, CA 90405-3301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2008
- **Last updated:** 07/31/2008