Organization
STEP UP ARIZONA
Active
Organization
STEP UP ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MOLINA MA (VICE PRESIDENT)
(623) 466-7233
Entity
Organization
Contact information
Practice address
12725 W INDIAN SCHOOL RD # E109, AVONDALE, AZ 85392-9520
(602) 361-9724
Mailing address
12725 W INDIAN SCHOOL RD # E109, AVONDALE, AZ 85392-9520
(602) 361-9724
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSLG7614
AZ
Other
Enumeration date
03/30/2016
Last updated
03/24/2025
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