Organization
FIRST STEP BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON LARRICK (OWNER)
(917) 402-2991
Entity
Organization
Contact information
Practice address
313 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-4119
(917) 402-2991
Mailing address
313 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-4119
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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