Organization
STEPPING FORWARD GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCH SHAFFER PH.D , MFT (PROGRAM DIRECTOR)
(949) 333-1209
Entity
Organization
Contact information
Practice address
15375 BARRANCA PKWY, SUITE B-101, IRVINE, CA 92618-2217
(949) 333-1209
(949) 333-1208
Mailing address
15375 BARRANCA PKWY, SUITE B-101, IRVINE, CA 92618-2217
(949) 333-1209
(949) 333-1208
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
CA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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