Basic Information
| Provider Information | |||||||||
| NPI: | 1750620696 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | STEP 1, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1015 N SIERRA ST | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895033722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753299830 | ||||||||
| FaxNumber: | 7753299830 | ||||||||
| Practice Location | |||||||||
| Address1: | 1015 N SIERRA ST | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895033722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753299830 | ||||||||
| FaxNumber: | 7753299830 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2013 | ||||||||
| LastUpdateDate: | 05/20/2013 | ||||||||
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| AuthorizedOfficialLastName: | DOEHRING | ||||||||
| AuthorizedOfficialFirstName: | DANI | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7753299830 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LADC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | 4941ADA-1 | NV | Y | Agencies | Case Management |
No ID Information.