Healthcare Provider Details

I. General information

NPI: 1275165524
Provider Name (Legal Business Name): STEPS RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 EAST 4500 SOUTH SUITE 100 & 140
MURRAY UT
84107
US

IV. Provider business mailing address

984 SOUTH 930 WEST
PAYSON UT
84651
US

V. Phone/Fax

Practice location:
  • Phone: 801-465-5111
  • Fax: 855-550-0944
Mailing address:
  • Phone: 801-465-5111
  • Fax: 855-550-0944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: PAUL WALKENHORST
Title or Position: OWNER
Credential:
Phone: 801-376-2879