Provider Demographics
NPI:1386888311
Name:STEPPING INTO THE LIGHT, INC.
Entity type:Organization
Organization Name:STEPPING INTO THE LIGHT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:BRACELY
Authorized Official - Suffix:
Authorized Official - Credentials:BISHOP
Authorized Official - Phone:314-231-5175
Mailing Address - Street 1:1402 HEBERT ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63107-3810
Mailing Address - Country:US
Mailing Address - Phone:314-231-5175
Mailing Address - Fax:314-231-2968
Practice Address - Street 1:1402 HEBERT ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63107-3810
Practice Address - Country:US
Practice Address - Phone:314-231-5175
Practice Address - Fax:314-231-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251V00000XAgenciesVoluntary or Charitable