Organization Active NPI

A Step Forward Substance Abuse Center

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1306148887
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A STEP FORWARD SUBSTANCE ABUSE CENTER
Doing business as
A Step Forward Substance Abuse Center
Practice address
1714 Pecan Ave
Charlotte, NC 28205-3420
Phone
(704) 605-9400
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dwayne Robinson
Title
Ceo
Phone
(704) 605-9400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1714 Pecan Ave
Charlotte, NC 28205-3420

Mailing address

1714 Pecan Ave
Charlotte, NC 28205-3420
Phone (704) 605-9400

Other names 1

  • A Step Forward Substance Abuse Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1306148887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 PECAN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053420",
            "telephone_number": "704-605-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 PECAN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053420",
            "telephone_number": "704-605-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STEP FORWARD SUBSTANCE ABUSE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-605-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Step Forward Substance Abuse Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.