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Organization
VITAL STEPS RECOVERY
Active
Organization
VITAL STEPS RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY PHIPPS (CEO)
(870) 330-0902
Entity
Organization
Contact information
Practice address
300 OLIVE ST STE 507, TEXARKANA, AR 71854-5920
(870) 330-0902
Mailing address
300 OLIVE ST STE 507, TEXARKANA, AR 71854-5920
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
02/05/2025
Last updated
10/02/2025
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