Organization
NEXTSTEP FOR LIFE, INC.
Active
Other names
DSJC-BP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY M. EMS (DIRECTOR OF FINANCE)
(636) 282-4414
Entity
Organization
Contact information
Practice address
3653 BAPTIST PARK RD, MAPAVILLE, MO 63065-0001
(636) 282-4455
(636) 282-4458
Mailing address
PO BOX 97, MAPAVILLE, MO 63065-0097
(636) 282-4400
(636) 282-4410
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852075001
—
MO
Enumeration date
04/23/2007
Last updated
07/12/2017
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