Provider Demographics
NPI:1861815003
Name:STEP BY STEP SUPPORTIVE SERVICES
Entity Type:Organization
Organization Name:STEP BY STEP SUPPORTIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-277-6140
Mailing Address - Street 1:1470 BEACON ST
Mailing Address - Street 2:B
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2628
Mailing Address - Country:US
Mailing Address - Phone:617-277-6140
Mailing Address - Fax:617-277-0168
Practice Address - Street 1:1470 BEACON ST
Practice Address - Street 2:B
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-2628
Practice Address - Country:US
Practice Address - Phone:617-277-6140
Practice Address - Fax:617-277-0168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities