Provider Demographics
NPI:1033448246
Name:S.T.E.P.S. DEVELOPMENT CENTER, LLC
Entity Type:Organization
Organization Name:S.T.E.P.S. DEVELOPMENT CENTER, LLC
Other - Org Name:FAMILY ADVANTAGE, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GILCHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:252-326-0090
Mailing Address - Street 1:289 WADE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTLAND NECK
Mailing Address - State:NC
Mailing Address - Zip Code:27874-8957
Mailing Address - Country:US
Mailing Address - Phone:252-326-0090
Mailing Address - Fax:252-536-2322
Practice Address - Street 1:507 E MAIN ST
Practice Address - Street 2:SUITE E.
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4497
Practice Address - Country:US
Practice Address - Phone:252-326-0090
Practice Address - Fax:252-536-2322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-070-047251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health