Provider Demographics
NPI:1083910178
Name:SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES, INC.
Entity Type:Organization
Organization Name:SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES, INC.
Other - Org Name:STEPS
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCJAP
Authorized Official - Phone:321-637-7730
Mailing Address - Street 1:1033 N PINE HILLS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7152
Mailing Address - Country:US
Mailing Address - Phone:407-522-2144
Mailing Address - Fax:
Practice Address - Street 1:1033 N PINE HILLS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7152
Practice Address - Country:US
Practice Address - Phone:407-522-2144
Practice Address - Fax:407-522-2148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0948AD398601261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL029951100Medicaid