Provider Demographics
NPI:1144465766
Name:STEPZ-2-GREATER HEIGHTS
Entity type:Organization
Organization Name:STEPZ-2-GREATER HEIGHTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ALBERTA
Authorized Official - Last Name:BLAKELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-327-3754
Mailing Address - Street 1:223 W WALNUT ST STE 1
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-3684
Mailing Address - Country:US
Mailing Address - Phone:252-327-3754
Mailing Address - Fax:
Practice Address - Street 1:223 W WALNUT ST STE 1
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-3684
Practice Address - Country:US
Practice Address - Phone:252-327-3754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management