MEDICARE: POSITIVE STEPS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790922987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE STEPS INC.

Provider Business Mailing Address
First Line	:	PO BOX 1
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-0001
Country	:	US
Telephone Number	:	713-522-0059
Fax Number	:	713-522-0582

Provider Business Practice Location Address
First Line	:	4003 GRIGGS RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1447
Country	:	US
Telephone Number	:	713-522-0059
Fax Number	:	713-522-0582

Authorized Official
Title or Position	:	EXCUTIVE DIRECTOR
Name	:	MS. YVONNE HAWKINS
Credential	:
Telephone Number	:	713-522-0559

Provider Enumeration Date	:	01/09/2009
Last Update Date	:	04/18/2010

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Directions to “POSITIVE STEPS INC. ” Practice Location

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