Provider Demographics
NPI:1225396070
Name:STEPPING UP COMMUNITY DEVELOPMENT INC
Entity type:Organization
Organization Name:STEPPING UP COMMUNITY DEVELOPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRE TOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-309-6310
Mailing Address - Street 1:1712 CENTINELA AVE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-1027
Mailing Address - Country:US
Mailing Address - Phone:323-309-6310
Mailing Address - Fax:323-792-4028
Practice Address - Street 1:1712 CENTINELA AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-1027
Practice Address - Country:US
Practice Address - Phone:323-309-6310
Practice Address - Fax:323-792-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility