MEDICARE: STEP, 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	251S00000X	Community/Behavioral Health Agency	0785	MA

General Provider Information

NPI Number	:	1750517207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP, INC.

Provider Business Mailing Address
First Line	:	131 BEVERLY STREET
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02114-2118
Country	:	US
Telephone Number	:	617-442-7837
Fax Number	:	617-445-3573

Provider Business Practice Location Address
First Line	:	131 BEVERLY STREET
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02114-2118
Country	:	US
Telephone Number	:	617-720-7837
Fax Number	:	617-367-9644

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. KAREN WAKEFIELD
Credential	:
Telephone Number	:	617-720-7837

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	06/10/2009

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Directions to “STEP, INC. ” Practice Location

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