Provider Demographics
NPI:1609151372
Name:STEP FORWARD
Entity Type:Organization
Organization Name:STEP FORWARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP COMMUNITY SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-696-9077
Mailing Address - Street 1:1801 SUPERIOR AVE E STE 400
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2135
Mailing Address - Country:US
Mailing Address - Phone:216-696-9077
Mailing Address - Fax:216-696-0770
Practice Address - Street 1:1801 SUPERIOR AVE E STE 400
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114
Practice Address - Country:US
Practice Address - Phone:216-696-9077
Practice Address - Fax:216-696-0770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder