Organization
STEP BY STEP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L BOBECK (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(570) 829-3477
Entity
Organization
Contact information
Practice address
653 HAZLE ST, WILKES BARRE, PA 18702-4534
(570) 829-3477
(570) 829-7918
Mailing address
744 KIDDER STREET, WILKES BARRE, PA 18702-7015
(570) 829-3477
(570) 829-7918
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
218960
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000013970356
PA DPW PROMISE
PA
Enumeration date
10/18/2012
Last updated
10/18/2012
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