Organization
FIRST STEP HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MCMILLEN (EXECUTIVE DIRECTOR)
(801) 359-8862
Entity
Organization
Contact information
Practice address
411 GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
Mailing address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 359-8862
(801) 359-8510
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
02/04/2021
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