Provider Demographics
NPI:1467854505
Name:SPECIAL TREATMENT EDUCATION AND PREVENTION SERVICES
Entity Type:Organization
Organization Name:SPECIAL TREATMENT EDUCATION AND PREVENTION SERVICES
Other - Org Name:STEPS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EVISTON
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:661-871-3353
Mailing Address - Street 1:3533 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-1545
Mailing Address - Country:US
Mailing Address - Phone:661-873-3353
Mailing Address - Fax:661-871-9549
Practice Address - Street 1:3533 MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-1545
Practice Address - Country:US
Practice Address - Phone:661-873-3353
Practice Address - Fax:661-871-9549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health