Provider Demographics
NPI:1568898161
Name:STEPS FOR CHANGE BEHAVIORAL HEALTHCARE
Entity Type:Organization
Organization Name:STEPS FOR CHANGE BEHAVIORAL HEALTHCARE
Other - Org Name:NEW BEGINNINGS YOUTH FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMESHA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SPINKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-302-0801
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:RAMSEUR
Mailing Address - State:NC
Mailing Address - Zip Code:27316-0157
Mailing Address - Country:US
Mailing Address - Phone:336-302-0801
Mailing Address - Fax:336-824-1737
Practice Address - Street 1:528 S CASINO CENTER BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6526
Practice Address - Country:US
Practice Address - Phone:336-302-0801
Practice Address - Fax:336-824-1737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health