Provider Demographics
NPI:1396452017
Name:NEW STEPS BEHAVIORAL HEALTH L L C
Entity type:Organization
Organization Name:NEW STEPS BEHAVIORAL HEALTH L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABOLADE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-364-1098
Mailing Address - Street 1:8406 S 49TH LN
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2159
Mailing Address - Country:US
Mailing Address - Phone:480-364-1098
Mailing Address - Fax:480-546-3574
Practice Address - Street 1:8406 S 49TH LN
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2159
Practice Address - Country:US
Practice Address - Phone:480-364-1098
Practice Address - Fax:480-546-3574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZBH8009Medicaid