Provider Demographics
NPI:1982170254
Name:THE COURAGEOUS STEPS PROJECT, INC.
Entity Type:Organization
Organization Name:THE COURAGEOUS STEPS PROJECT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CONNOR
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:207-852-1831
Mailing Address - Street 1:P.O. BOX 729
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04461-0729
Mailing Address - Country:US
Mailing Address - Phone:207-827-7270
Mailing Address - Fax:207-827-2812
Practice Address - Street 1:78 MAIN ROAD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:ME
Practice Address - Zip Code:04461-0729
Practice Address - Country:US
Practice Address - Phone:207-827-7270
Practice Address - Fax:207-827-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency