Healthcare Provider Details

I. General information

NPI: 1033063540
Provider Name (Legal Business Name): FIRST STEP HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 S 500 E
SALT LAKE CITY UT
84102-2705
US

IV. Provider business mailing address

440 S 500 E
SALT LAKE CITY UT
84102-2705
US

V. Phone/Fax

Practice location:
  • Phone: 385-228-1027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: YAQUELIN LOPEZ-CHAVEZ
Title or Position: CASE MANAGER
Credential:
Phone: 385-228-1027