| NPI | 1760097471 |
|---|---|
| Doing Business As | SOUL SURGERY FIRST STEP CENTER |
| Entity Type | Organization |
| Authorized Contact | REGINA SHAKESPEARE Billing Compliance Officer 480-477-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |