Organization
STEPPING STONE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSA RIVERS AGYEMANG (CEO)
(704) 507-2258
Entity
Organization
Contact information
Practice address
12033 COPPER MOUNTAIN BLVD, CHARLOTTE, NC 28277-2983
(704) 507-2258
(704) 542-2140
Mailing address
PO BOX 33895, CHARLOTTE, NC 28233-3895
(704) 507-2258
(704) 542-2140
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL036212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603940
—
NC
05
—
6603941
—
NC
Enumeration date
03/27/2007
Last updated
12/24/2007
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