A Step Forward Behavioral Services, Llc | |
2500 E Cooley St 401 Show Low AZ 85901-5271 | |
(928) 537-9744 | |
(928) 537-5188 |
Full Name | A Step Forward Behavioral Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2500 E Cooley St, Show Low, Arizona |
Authorized Official Name and Position | Douglas Jack Kaplan (PRESIDENT / CEO) |
Authorized Official Contact | 4808940092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A Step Forward Behavioral Services, Llc 60 E Rio Salado Pkwy Ste 900 Tempe AZ 85281-9124 Ph: (480) 894-0092 | A Step Forward Behavioral Services, Llc 2500 E Cooley St 401 Show Low AZ 85901-5271 Ph: (928) 537-9744 |
NPI Number | 1568626190 |
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Provider Enumeration Date | 07/14/2008 |
Last Update Date | 07/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568626190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 158270 (Arizona) | Primary |
385HR2055X | Respite Care - Respite Care, Mental Illness, Child | 158270 (Arizona) | Secondary |
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Tlc Supported Living Services Of Az, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 E Cooley St, Suite 401, Show Low, AZ 85901 Phone: 928-537-9744 Fax: 928-537-5188 |