Provider Demographics
NPI:1477317766
Name:ASSISTED STEPS OF ARIZONA
Entity Type:Organization
Organization Name:ASSISTED STEPS OF ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BEHAVIORAL HEALTH TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAYLAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-579-2868
Mailing Address - Street 1:7119 N 127TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85307-2406
Mailing Address - Country:US
Mailing Address - Phone:602-579-2868
Mailing Address - Fax:
Practice Address - Street 1:7119 N 127TH DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85307-2406
Practice Address - Country:US
Practice Address - Phone:602-579-2868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness