Organization
1ST STEP RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS RAY BUTLER II PHD (THERAPIST)
(980) 319-4357
Entity
Organization
Contact information
Practice address
10912 MCCAMIE HILL PL, CONCORD, NC 28025-9153
(980) 319-4357
Mailing address
10912 MCCAMIE HILL PL, CONCORD, NC 28025-9153
(980) 319-4357
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1462109
NC
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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