| Step Up Arizona | |
|
12725 W Indian School Rd # E109 Avondale AZ 85392-9520 | |
| (602) 361-9724 | |
| Not Available |
| Full Name | Step Up Arizona |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12725 W Indian School Rd # E109, Avondale, Arizona |
| Authorized Official Name and Position | Kim Molina (VICE PRESIDENT) |
| Authorized Official Contact | 6234667233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Up Arizona 12725 W Indian School Rd # E109 Avondale AZ 85392-9520 Ph: (602) 361-9724 | Step Up Arizona 12725 W Indian School Rd # E109 Avondale AZ 85392-9520 Ph: (602) 361-9724 |
| NPI Number | 1477916203 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477916203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSLG7614 (Arizona) | Primary |
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