Organization
FIRST STEP CENTER LLC DBA SOUL SURGERY FIRST STEP CENTER
Active
Organization
FIRST STEP CENTER LLC DBA SOUL SURGERY FIRST STEP CENTER
Active
Other names
Soul Surgery First Step Center
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA SHAKESPEARE LPN (BILLING COMPLIANCE OFFICER)
(480) 477-7899
Entity
Organization
Contact information
Practice address
23222 N CHURCH RD, SCOTTSDALE, AZ 85255-3737
(480) 477-7899
(480) 477-7894
Mailing address
23222 N CHURCH RD, SCOTTSDALE, AZ 85255-3737
(480) 477-7899
(480) 477-7894
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5557
BEHAVIORAL HEALTH RESIDENTIAL FACILITY
AZ
Enumeration date
09/10/2020
Last updated
09/10/2020
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