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Organization

A STEP AWAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JEHNEL REGINA SMITH MS (CEO/OWNER)
(570) 921-9526
Entity
Organization

Contact information

Practice address
128 FAIRGROUND CIR APT 502, STROUDSBURG, PA 18360-1273
(570) 921-9526
(570) 921-9526
Mailing address
128 FAIRGROUND CIR APT 502, STROUDSBURG, PA 18360-1273
(570) 921-9526
(570) 921-9526

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
03/12/2026
Last updated
03/12/2026
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