=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043486889
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPS TO HIGHER HEIGHTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2008
-----------------------------------------------------
Last Update Date | 06/05/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3005 S MEMORIAL DR
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27834-6224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-355-3284
-----------------------------------------------------
Fax | 252-321-2439
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3005 S MEMORIAL DR
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27834-6224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-355-3284
-----------------------------------------------------
Fax | 252-321-2439
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MRS. SARAH A BLAKELY
-----------------------------------------------------
Credential | MA
-----------------------------------------------------
Telephone | 252-355-3284
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------