Organization
ONE STEP FORWARD OUTREACH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA DAYMON-ADAMS (OWNER/OPERATOR)
(704) 496-1186
Entity
Organization
Contact information
Practice address
10000 WOODY RIDGE RD, CHARLOTTE, NC 28273-5777
(704) 496-1186
Mailing address
10000 WOODY RIDGE RD, CHARLOTTE, NC 28273-5777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL060-1060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806120
—
NC
Enumeration date
07/29/2008
Last updated
11/23/2016
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