Provider Demographics
NPI:1427452564
Name:FIRST STEP COMMUNITY SERVICES, LLC
Entity type:Organization
Organization Name:FIRST STEP COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MAHKAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-480-9793
Mailing Address - Street 1:1239A S FIFTH ST
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9706
Mailing Address - Country:US
Mailing Address - Phone:336-395-3832
Mailing Address - Fax:336-395-3847
Practice Address - Street 1:1239A S FIFTH ST
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-9706
Practice Address - Country:US
Practice Address - Phone:336-395-3832
Practice Address - Fax:336-395-3847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No291U00000XLaboratoriesClinical Medical Laboratory