Organization
STEPS FOR SUCCESS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA MICHELLE DOUGLAS (OWNER)
(704) 777-0343
Entity
Organization
Contact information
Practice address
1024 JUNIUS ST, GASTONIA, NC 28052-1189
(704) 777-0343
(186) 670-9410
Mailing address
PO BOX 43077, CHARLOTTE, NC 28215-0038
(704) 777-0343
(186) 670-9410
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL036296
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL036296
LICENSE
NC
Enumeration date
03/16/2012
Last updated
03/16/2012
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