| One Step Forward Outreach Inc. | |
|
10000 Woody Ridge Rd Charlotte NC 28273-5777 | |
| (704) 496-1186 | |
| Not Available |
| Full Name | One Step Forward Outreach Inc. |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Location | 10000 Woody Ridge Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Marsha Daymon-adams (OWNER/OPERATOR) |
| Authorized Official Contact | 7044961186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Step Forward Outreach Inc. 10000 Woody Ridge Rd Charlotte NC 28273-5777 Ph: () - | One Step Forward Outreach Inc. 10000 Woody Ridge Rd Charlotte NC 28273-5777 Ph: (704) 496-1186 |
| NPI Number | 1205092376 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 11/23/2016 |
| Medicare PECOS PAC ID | 2860770336 |
|---|---|
| Medicare Enrollment ID | O20161103001686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205092376 | NPI | - | NPPES |
| 7806120 | Medicaid | NC |
| Provider Name | Chimere D Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104955293 PECOS PAC ID: 4486943941 Enrollment ID: I20160523001868 |
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