Organization
THE FIRST STEP AZ LLC
Active
Other names
The First Step AZ
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JACKSON (CCO)
(585) 721-0294
Entity
Organization
Contact information
Practice address
560 W BROWN RD STE 1001, MESA, AZ 85201-3222
(585) 721-0294
Mailing address
560 W BROWN RD STE 1001, MESA, AZ 85201-3222
(585) 721-0294
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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