Organization
STEP WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MILD CDCA (EXECUTIVE DIRECTOR)
(740) 901-0416
Entity
Organization
Contact information
Practice address
1616 GRANT ST, PORTSMOUTH, OH 45662-3663
(740) 901-0416
(740) 901-0417
Mailing address
1616 GRANT ST, PORTSMOUTH, OH 45662-3663
(740) 901-0416
(740) 901-0417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/23/2020
Last updated
04/09/2020
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