Step Up On Second Street, Inc. in Santa Monica - Community/behavioral Health
Step Up On Second Street, Inc. - NPI 1649309469
Step Up On Second Street, Inc. is a Community/behavioral Health in Santa Monica, California. Step Up On Second Street, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Step Up On Second Street, Inc. is 1649309469. The last update date is 2015-04-01.
Step Up On Second Street, Inc.'s current location address is 1619 Santa Monica Blvd, Santa Monica, California. You can contact this provider via phone number 3103925855 and fax number 3104534817. The mailing address for Step Up On Second Street, Inc. is 1619 Santa Monica Blvd, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Step Up On Second Street, Inc. |
|---|---|
| Address | 1619 Santa Monica Blvd, Santa Monica, California |
| Phone Number | 3103925855 |
| Fax Number | 3104534817 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Lipka Tod |
| Telephone Number | 3103946889 |
NPI Number Detail
| NPI Number | 1649309469 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2015-04-01 |
Provider Mailing Address Detail
| Address | 1619 Santa Monica Blvd |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904041807 |
| Phone Number | 3103925855 |
| Fax Number | 3104534817 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the Step Up On Second Street, Inc.'s unique identification number?
The Step Up On Second Street, Inc. has been assigned the NPI (National Provider Identifier) Number 1649309469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Step Up On Second Street, Inc.?
The Step Up On Second Street, Inc. is physically situated at 1619 Santa Monica Blvd, in the city of Santa Monica, state of CA, with the postal code 904041807.
What is Step Up On Second Street, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Step Up On Second Street, Inc. is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649309469 to Step Up On Second Street, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1649309469 to Step Up On Second Street, Inc. on 2007-03-05.
When was the information related to Step Up On Second Street, Inc. most recently updated or refreshed?
The details pertaining to the Step Up On Second Street, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2015-04-01.