# STEPPING STONE INC

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

## Provider details

- **NPI number:** 1710005624
- **Authorized official:** MS. ROSA RIVERS AGYEMANG (CEO)
- **Authorized official phone:** (704) 507-2258

## Contact information

- **Practice address:** 12033 COPPER MOUNTAIN BLVD, CHARLOTTE, NC 28277-2983
- **Practice address phone:** (704) 507-2258
- **Practice address fax:** (704) 542-2140
- **Mailing address:** PO BOX 33895, CHARLOTTE, NC 28233-3895
- **Mailing address phone:** (704) 507-2258
- **Mailing address fax:** (704) 542-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL036212 | NC | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 12/24/2007
