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Organization
STEP UP ON SECOND STREET, INC
Active
Organization
STEP UP ON SECOND STREET, INC
Active
Other names
Step Up On Second -Sacramento
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARK TAVLIN (CHIEF PROGRAM OFFICER)
(310) 985-5250
Entity
Organization
Contact information
Practice address
4600 NORTHGATE BLVD STE 235, SACRAMENTO, CA 95834-1145
(916) 533-3177
Mailing address
4600 NORTHGATE BLVD STE 235, SACRAMENTO, CA 95834-1145
(916) 533-3177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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