Provider Demographics
NPI:1407222870
Name:STEPS TO RECOVERY CORP
Entity Type:Organization
Organization Name:STEPS TO RECOVERY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:818-261-6555
Mailing Address - Street 1:4483 SHERMAN OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3818
Mailing Address - Country:US
Mailing Address - Phone:818-905-1011
Mailing Address - Fax:
Practice Address - Street 1:14432-14434 GILMORE ST.
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401
Practice Address - Country:US
Practice Address - Phone:818-905-9968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility