Provider Demographics
NPI:1275165524
Name:STEPS RECOVERY CENTER
Entity Type:Organization
Organization Name:STEPS RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKENHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-376-2879
Mailing Address - Street 1:984 SOUTH 930 WEST
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651
Mailing Address - Country:US
Mailing Address - Phone:801-465-5111
Mailing Address - Fax:855-550-0944
Practice Address - Street 1:345 EAST 4500 SOUTH
Practice Address - Street 2:SUITE 100 & 140
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107
Practice Address - Country:US
Practice Address - Phone:801-465-5111
Practice Address - Fax:855-550-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT3008073Medicaid