| First Step Service Llc | |
|
20 E Tabb St Ste 204 Petersburg VA 23803-4560 | |
| (804) 712-3546 | |
| Not Available |
| Full Name | First Step Service Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20 E Tabb St Ste 204, Petersburg, Virginia |
| Authorized Official Name and Position | Titoni Levon Crenshaw (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8047123546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Step Service Llc 20 E Tabb St Ste 204 Petersburg VA 23803-4560 Ph: (804) 712-3546 | First Step Service Llc 20 E Tabb St Ste 204 Petersburg VA 23803-4560 Ph: (804) 712-3546 |
| NPI Number | 1427403476 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427403476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2458 (Virginia) | Primary |
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