| Step Group Home | |
|
951 Coquina St Se Palm Bay FL 32909-4518 | |
| (321) 480-4052 | |
| (321) 821-1997 |
| Full Name | Step Group Home |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 951 Coquina St Se, Palm Bay, Florida |
| Authorized Official Name and Position | Tara Demetria Johnson (CEO) |
| Authorized Official Contact | 3214804052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Group Home 2940 Jupiter Blvd Se Palm Bay FL 32909-4019 Ph: (321) 480-4052 | Step Group Home 951 Coquina St Se Palm Bay FL 32909-4518 Ph: (321) 480-4052 |
| NPI Number | 1598610578 |
|---|---|
| Provider Enumeration Date | 03/03/2026 |
| Last Update Date | 03/03/2026 |
| Certification Date | 03/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598610578 | NPI | - | NPPES |
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