Provider Demographics
NPI:1215343447
Name:NEXT STEP COMMUNITY OUTREACH LLC
Entity type:Organization
Organization Name:NEXT STEP COMMUNITY OUTREACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-275-2917
Mailing Address - Street 1:517 CHALET DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2909
Mailing Address - Country:US
Mailing Address - Phone:205-332-3719
Mailing Address - Fax:
Practice Address - Street 1:85 BAGBY DR STE 354
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3735
Practice Address - Country:US
Practice Address - Phone:205-275-2917
Practice Address - Fax:844-804-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health