Provider Demographics
NPI:1790489706
Name:STEPWORKS RECOVERY CENTERS LLC
Entity Type:Organization
Organization Name:STEPWORKS RECOVERY CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:STAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-545-9031
Mailing Address - Street 1:PO BOX 6209
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42702-6209
Mailing Address - Country:US
Mailing Address - Phone:800-545-9031
Mailing Address - Fax:859-757-4501
Practice Address - Street 1:1400 N 10TH ST
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-1704
Practice Address - Country:US
Practice Address - Phone:800-545-9031
Practice Address - Fax:859-757-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility