Provider Demographics
NPI:1104539311
Name:1ST STEP RECOVERY
Entity type:Organization
Organization Name:1ST STEP RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-365-7054
Mailing Address - Street 1:220 S 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40212-1678
Mailing Address - Country:US
Mailing Address - Phone:502-365-7054
Mailing Address - Fax:
Practice Address - Street 1:220 S 23RD ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40212-1678
Practice Address - Country:US
Practice Address - Phone:502-365-7054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging