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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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