MEDICARE: STEP ONE BEHAVIORAL & RESIDENTIAL INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1437013588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP ONE BEHAVIORAL & RESIDENTIAL INC.

Provider Business Mailing Address
First Line	:	2932 N 14TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-5601
Country	:	US
Telephone Number	:	602-749-5434
Fax Number	:

Provider Business Practice Location Address
First Line	:	2932 N 14TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-5601
Country	:	US
Telephone Number	:	602-749-5434
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. JEFFRI LEE BROWN
Credential	:
Telephone Number	:	623-231-0196

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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