# FIRST STEP TREATMENT CENTER INC

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

## Provider details

- **NPI number:** 1477226082
- **Authorized official:** OLUBUKOLA T AMUDIPE VIII MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (817) 440-4247

## Contact information

- **Practice address:** 6324 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3136
- **Practice address phone:** (817) 440-4247
- **Mailing address:** 6324 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3136
- **Mailing address phone:** (817) 440-4247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2021
- **Last updated:** 02/07/2022