Organization
STEPPING INTO THE LIGHT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME RENEA BRACELY BISHOP (EXECUTIVE DIRECTOR)
(314) 231-5175
Entity
Organization
Contact information
Practice address
1402 HEBERT ST, SAINT LOUIS, MO 63107-3810
(314) 231-5175
(314) 231-2968
Mailing address
1402 HEBERT ST, SAINT LOUIS, MO 63107-3810
(314) 231-5175
(314) 231-2968
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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