| Step Up On Second Street Inc. | |
|
290 N D St Ste 700 San Bernardino CA 92401-1705 | |
| (909) 963-5355 | |
| (424) 500-8526 |
| Full Name | Step Up On Second Street Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 290 N D St Ste 700, San Bernardino, California |
| Authorized Official Name and Position | Tod Lipka (CEO) |
| Authorized Official Contact | 9099635355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Up On Second Street Inc. 290 N D St Ste 700 San Bernardino CA 92401-1705 Ph: (909) 963-5355 | Step Up On Second Street Inc. 290 N D St Ste 700 San Bernardino CA 92401-1705 Ph: (909) 963-5355 |
| NPI Number | 1285186353 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285186353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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