Organization
FIRST STEP YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL FULTON (CEO)
(336) 769-7664
Entity
Organization
Contact information
Practice address
1407 S MAIN ST, DANVILLE, VA 24541-4083
(336) 769-7664
Mailing address
4754 NEW WALKERTOWN RD, WALKERTOWN, NC 27051-9637
(336) 769-7664
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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