| Organization Name: | YELLOWSTONE WOMEN'S FIRST STEP HOUSE INC. |
| NPI Number: | 1023463999 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENJAMIN SPENCER (PROGRAM MANAGER) |
| Mailing Address: | 2001 Harbor Blvd Suite 200 Costa Mesa |
| State: | CA US |
| Postal Code: | 92626 |
| Phone Number: | 8889419048 |
| Fax Number: | 9496465296 |
| NPI Enumeration Date: | 04/28/2016 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 300121IN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |