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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 Street-FCCS Plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOD LIPKA (CEO)
(310) 394-6889
Entity
Organization
Contact information
Practice address
3435 OCEAN PARK BLVD, #207, SANTA MONICA, CA 90405-3301
(310) 392-9474
(310) 392-7341
Mailing address
3435 OCEAN PARK BLVD, #207, SANTA MONICA, CA 90405-3301
(310) 392-9474
(310) 392-7341
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
10/31/2012
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