Organization
FIRST STEP CENTER LLC
Active
Other names
First Step Center
Organization subpart
No
Provider details
NPI number
Authorized official
DYNA HAUGEN (CFO)
(480) 250-5807
Entity
Organization
Contact information
Practice address
10051 E DYNAMITE BLVD STE G135, SCOTTSDALE, AZ 85262-5232
(480) 250-5807
Mailing address
10051 E DYNAMITE BLVD STE G135, SCOTTSDALE, AZ 85262-5232
(480) 250-5807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/20/2018
Last updated
08/19/2019
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