Organization · NPI-2

1st Step Recovery Services LLC

Community/Behavioral Health · Concord, NC

NPI number1013460211
StatusActive
Last updated in NPPESJul 25, 2016

Details

NPI
1013460211
Entity type
Organization (NPI-2)
Legal business name
1st Step Recovery Services LLC
Organization subpart
No
Enumeration date
Jul 25, 2016
Last updated
Jul 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health1462109NCYes

Practice location

10912 Mccamie Hill Pl
Concord, NC 28025-9153

Phone 980-319-4357

Mailing address

10912 Mccamie Hill Pl
Concord, NC 28025-9153

Phone 980-319-4357

Authorized official

Ellis Ray Butler
Therapist
9803194357

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