Organization
A STEP FORWARD BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS JACK KAPLAN (PRESIDENT / CEO)
(480) 894-0092
Entity
Organization
Contact information
Practice address
2500 E COOLEY ST, 401, SHOW LOW, AZ 85901-5271
(928) 537-9744
(928) 537-5188
Mailing address
60 E RIO SALADO PKWY, STE 900, TEMPE, AZ 85281-9124
(480) 894-0092
(480) 894-0093
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
158270
AZ
385HR2055X
Child Mental Illness Respite Care
158270
AZ
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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