Organization
FIRST STEP FORWARD, INC
Active
Other names
First Step Forward
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AKEEMI CROOM (SECRETARY)
(909) 499-5363
Entity
Organization
Contact information
Practice address
7523 S WESTERN AVE, LOS ANGELES, CA 90047-2430
(909) 499-5363
Mailing address
12164 KEENLAND DR, RANCHO CUCAMONGA, CA 91739-9059
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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