Organization · NPI-2

A Step Up Behavioral Services LLC

Clinic/Center · Mesa, AZ

NPI number1467171900
StatusActive
Last updated in NPPESAug 26, 2022

Details

NPI
1467171900
Entity type
Organization (NPI-2)
Legal business name
A Step Up Behavioral Services LLC
Organization subpart
No
Enumeration date
Aug 26, 2022
Certification date
Aug 26, 2022
Last updated
Aug 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

540 W Iron Ave Ste 218
Mesa, AZ 85210-6027

Phone 775-378-8664

Mailing address

1641 Topeka Cir
Sparks, NV 89434-8866

Phone 775-378-8664

Authorized official

Stephanie C Johnson
Owner
7753788664

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