Organization
STEP FORWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS BENNETT (VP COMMUNITY SERVICES)
(216) 696-9077
Entity
Organization
Contact information
Practice address
1801 SUPERIOR AVE E STE 400, CLEVELAND, OH 44114
(216) 696-9077
(216) 696-0770
Mailing address
1801 SUPERIOR AVE E STE 400, CLEVELAND, OH 44114-2135
(216) 696-9077
(216) 696-0770
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/13/2011
Last updated
05/26/2022
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