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NPI Code Detail

MEDICARE: FIRST STEP HOUSE

MEDICARE: FIRST STEP HOUSE
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
1251S00000XCommunity/Behavioral Health Agency
2291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1659618395
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST STEP HOUSE
Provider Business Mailing Address
First Line : 440 S 500 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-2705
Country : US
Telephone Number : 801-359-8862
Fax Number :
Provider Business Practice Location Address
First Line : 440 S 500 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-2705
Country : US
Telephone Number : 801-359-8862
Fax Number : 801-532-2280
Authorized Official
Title or Position : DIRECTOR OF QUALITY IMPROVEMENT
Name : AMY RELF
Credential : CMHC
Telephone Number : 801-859-8090
Provider Enumeration Date : 01/15/2013
Last Update Date : 09/06/2023

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1881238608 — ALVILDA OLIVIA PACHECO
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Directions to “FIRST STEP HOUSE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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