Provider Demographics
NPI:1699962118
Name:NEXT STEP FOUNDATION, INC.
Entity type:Organization
Organization Name:NEXT STEP FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF DEVELOPMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GRAY
Authorized Official - Middle Name:CADY
Authorized Official - Last Name:MONTAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-403-4393
Mailing Address - Street 1:641 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-3030
Mailing Address - Country:US
Mailing Address - Phone:412-331-2887
Mailing Address - Fax:
Practice Address - Street 1:641 BROADWAY AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-3030
Practice Address - Country:US
Practice Address - Phone:412-331-2887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA707260324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA957OtherMPI - ALLEGHENY COUNTY