Organization Name: | ONE STEP AHEAD PROGRAM |
NPI Number: | 1104184035 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA R COLEMAN (CEO) |
Mailing Address: | 3735 Poplar Springs Dr Missouri City |
State: | TX US |
Postal Code: | 774596722 |
Phone Number: | 5162162018 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2012 |
NPI Last Update Date: | 04/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |