Stepping Forward Group Llc | |
15375 Barranca Pkwy Suite B-101 Irvine CA 92618-2217 | |
(949) 333-1209 | |
(949) 333-1208 |
Full Name | Stepping Forward Group Llc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 15375 Barranca Pkwy, Irvine, California |
Authorized Official Name and Position | Mitch Shaffer (PROGRAM DIRECTOR) |
Authorized Official Contact | 9493331209 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stepping Forward Group Llc 15375 Barranca Pkwy Suite B-101 Irvine CA 92618-2217 Ph: (949) 333-1209 | Stepping Forward Group Llc 15375 Barranca Pkwy Suite B-101 Irvine CA 92618-2217 Ph: (949) 333-1209 |
NPI Number | 1528519659 |
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Provider Enumeration Date | 10/24/2016 |
Last Update Date | 10/24/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528519659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (California) | Primary |
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