Organization
STEPPING STONE OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MANA)
(856) 533-8762
Entity
Organization
Contact information
Practice address
643 GREENWAY RD, SUITE: L, BOONE, NC 28607-4819
(828) 265-7078
(888) 469-4994
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(185) 653-3876
(888) 469-4994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL-095-046
NC
251S00000X
Community/Behavioral Health Agency
NC-10072-M
NC
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
NC-10072-M
NC
Other
Enumeration date
10/12/2012
Last updated
07/25/2024
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