Provider Demographics
NPI:1629219076
Name:STEPPING STONE ACHIEVEMENT GROUP, INC.
Entity Type:Organization
Organization Name:STEPPING STONE ACHIEVEMENT GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARMI
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-656-0494
Mailing Address - Street 1:PO BOX 2011
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1154
Mailing Address - Country:US
Mailing Address - Phone:919-656-0494
Mailing Address - Fax:919-363-6448
Practice Address - Street 1:112 GABLES GATE CT
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-9042
Practice Address - Country:US
Practice Address - Phone:919-656-0494
Practice Address - Fax:919-363-6448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services