Provider Demographics
NPI:1558652255
Name:YELLOWSTONE WOMEN'S FIRST STEP HOUSE, INC.
Entity Type:Organization
Organization Name:YELLOWSTONE WOMEN'S FIRST STEP HOUSE, INC.
Other - Org Name:NEWPORT MANOR
Other - Org Type:Other Name
Authorized Official - Title/Position:CONTRACTS NEGOTIATOR/MEDICAL BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:CATANZARITE
Authorized Official - Suffix:
Authorized Official - Credentials:JURIS DOCTOR
Authorized Official - Phone:818-773-0989
Mailing Address - Street 1:154 E BAY ST
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-2147
Mailing Address - Country:US
Mailing Address - Phone:888-941-9048
Mailing Address - Fax:949-646-5296
Practice Address - Street 1:20172 REDLANDS DR
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1324
Practice Address - Country:US
Practice Address - Phone:888-941-9048
Practice Address - Fax:949-646-5296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility