Organization
A STEP FORWARD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES GORDON BARNEY JR. QMRP (ADMIN)
(225) 751-1777
Entity
Organization
Contact information
Practice address
14918 JEFFERSON HWY, BATON ROUGE, LA 70817-5217
(225) 751-1777
(225) 753-1310
Mailing address
14918 JEFFERSON HWY, BATON ROUGE, LA 70817-5217
(225) 751-1777
(225) 753-1310
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
PCA 9784
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145467
—
LA
Enumeration date
02/20/2007
Last updated
08/22/2020
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