# FIRST STEP DIRECT CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467592436
- **Authorized official:** GWENDOLYN LAVERN GRAHAM (ADMINISTRATIVE PROGRAM DIRECTOR)
- **Authorized official phone:** (803) 280-9263

## Contact information

- **Practice address:** 320 WINDING CANYON DR, CHARLOTTE, NC 28214-5013
- **Practice address phone:** (704) 395-2432
- **Practice address fax:** (704) 395-2432
- **Mailing address:** PO BOX 668683, CHARLOTTE, NC 28266-8683
- **Mailing address phone:** (704) 395-2432
- **Mailing address fax:** (704) 395-2432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL060709 | NC | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 07/24/2007