Provider Demographics
NPI:1528336088
Name:S-T-E-P-S
Entity type:Organization
Organization Name:S-T-E-P-S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:L
Authorized Official - Last Name:RIDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-791-0489
Mailing Address - Street 1:PO BOX 692
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:NC
Mailing Address - Zip Code:27925-0692
Mailing Address - Country:US
Mailing Address - Phone:252-791-0489
Mailing Address - Fax:252-791-0488
Practice Address - Street 1:2535 US HIGHWAY 64 W
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962-9349
Practice Address - Country:US
Practice Address - Phone:252-791-0489
Practice Address - Fax:252-791-0488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health