Organization
FIRST STEPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GINGERICH (OCCUPATIONAL THERAPIST)
(317) 690-6571
Entity
Organization
Contact information
Practice address
57358 SEQUOIA DR, GOSHEN, IN 46528-8829
(317) 690-6571
Mailing address
57358 SEQUOIA DR, GOSHEN, IN 46528-8829
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
31004338A
IN
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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