One Step Forward Outreach

NPI 1205092376 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1205092376
Enumeration Date 07/29/2008
Last Updated 07/29/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARSHA MARSHA
Position OWNER/OPERATOR
Phone (704) 497-3004
Fax
Practice Location
1738 W SUGAR CREEK RD
CHARLOTTE NC, 28262-4948, US
Phone (704) 497-3004
Fax
Business Location
1738 W SUGAR CREEK RD
CHARLOTTE NC, 28262-4948, US
Phone
Fax
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number MHL060-1060
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According to our database, One Step Forward Outreach NPI is 1205092376, taxonomy code is 320600000X and license number is MHL060-1060, license state is located at North Carolina. One Step Forward Outreach physically located at 1738 W Sugar Creek Rd, Charlotte NC, 28262-4948. NPI Number 1033115704 has the healthcare provider type.

1205092376 NPI number is provided on an as is basis without warranty of any kind. 1205092376 is maintained by the National Plan & Provider Enumeration System. The contents of One Step Forward Outreach are for informational purposes only.