Provider Demographics
NPI:1588073811
Name:THE NEXTEP FOUNDATION, INC.
Entity type:Organization
Organization Name:THE NEXTEP FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-634-9896
Mailing Address - Street 1:6559 PLANTATION PRESERVE CIR N
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-8366
Mailing Address - Country:US
Mailing Address - Phone:239-634-9896
Mailing Address - Fax:239-362-0710
Practice Address - Street 1:6559 PLANTATION PRESERVE CIR N
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-8366
Practice Address - Country:US
Practice Address - Phone:239-634-9896
Practice Address - Fax:239-362-0710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261QR0405XOtherTAXONOMY