Provider Demographics
NPI:1528492063
Name:K&J COMMUNITY STEPS INC
Entity type:Organization
Organization Name:K&J COMMUNITY STEPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FETKENHOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-546-8891
Mailing Address - Street 1:220 SUNSET LOOP
Mailing Address - Street 2:
Mailing Address - City:CEDARTOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30125-8416
Mailing Address - Country:US
Mailing Address - Phone:770-546-8891
Mailing Address - Fax:
Practice Address - Street 1:220 SUNSET LOOP
Practice Address - Street 2:
Practice Address - City:CEDARTOWN
Practice Address - State:GA
Practice Address - Zip Code:30125-8416
Practice Address - Country:US
Practice Address - Phone:770-546-8891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-31
Last Update Date:2013-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable