Organization
FIRST STEP SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITONI LEVON CRENSHAW (EXECUTIVE DIRECTOR)
(804) 712-3546
Entity
Organization
Contact information
Practice address
20 E TABB ST STE 204, PETERSBURG, VA 23803-4560
(804) 712-3546
Mailing address
20 E TABB ST STE 204, PETERSBURG, VA 23803-4560
(804) 712-3546
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2458
VA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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