MEDICARE: FIRST STEP COMMUNITY RECOVERY CENTER

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
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1730043910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST STEP COMMUNITY RECOVERY CENTER

Provider Business Mailing Address
First Line	:	217 WISCONSIN AVE STE 201
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53186-4946
Country	:	US
Telephone Number	:	414-841-2972
Fax Number	:

Provider Business Practice Location Address
First Line	:	2835 N 32ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1915
Country	:	US
Telephone Number	:	414-841-2972
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM & OPERATIONS ANALYST
Name	:	TIFFANY SANCHEZ
Credential	:
Telephone Number	:	414-841-2972

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

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