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Organization
STEPPING STONE OF NORTH CAROLINA, LLC
Active
Organization
STEPPING STONE OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MANA)
(856) 533-8762
Entity
Organization
Contact information
Practice address
643 GREENWAY RD, SUITE: L, BOONE, NC 28607-4819
(828) 265-7078
(888) 469-4994
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(185) 653-3876
(888) 469-4994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL-095-046
NC
251S00000X
Community/Behavioral Health Agency
NC-10072-M
NC
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
NC-10072-M
NC
Other
Enumeration date
10/12/2012
Last updated
07/25/2024
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