Organization
ASD STEPPING STONES TO SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLE BENSON (OWNER)
(541) 953-6997
Entity
Organization
Contact information
Practice address
91145 N WILLAMETTE ST STE 8211, COBURG, OR 97408-9700
(541) 953-6997
Mailing address
91145 N WILLAMETTE ST STE 8211, COBURG, OR 97408-9700
(541) 953-6997
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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