NPI | 1649648767 |
---|---|
Former Legal Business Name | FIRST STEP RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | GANESH ACHARYA CEO 602-370-0721 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
106H00000X Marriage & Family Therapist | |
207QA0401X Family Medicine Addiction Medicine | |
207RA0401X Internal Medicine Addiction Medicine | |
2083A0300X Preventive Medicine Addiction Medicine | |
2084A0401X Psychiatry & Neurology Addiction Medicine | |
2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
Enumeration Date | 2015-09-05 |
Last Update Date | 2023-08-31 |