Organization
STEP UP ON SECOND STREET, INC
Active
Other names
Step Up On Second Street-Savannah
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARK TAVLIN (CHIEF PROGRAM OFFICER)
(310) 985-5250
Entity
Organization
Contact information
Practice address
107 SOUTHERN BLVD STE 102, SAVANNAH, GA 31405-7438
(470) 462-3330
Mailing address
107 SOUTHERN BLVD STE 102, SAVANNAH, GA 31405-7438
(470) 462-3330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
11/09/2022
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