Organization
STEP BY STEP INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L. BOBECK (CHIEF EXECUTIVE OFFICER)
(570) 829-3477
Entity
Organization
Contact information
Practice address
744 KIDDER ST, WILKES BARRE, PA 18702-7015
(570) 829-3477
Mailing address
744 KIDDER ST, WILKES BARRE, PA 18702-7015
(570) 829-3477
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
218960
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000013970360
PA PROMISE MPI
PA
Enumeration date
01/17/2013
Last updated
01/17/2013
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