| Footprints Carolina, Inc | |
|
2020 Remount Rd Gastonia NC 28054-7437 | |
| (704) 524-2009 | |
| (704) 524-2095 |
| Full Name | Footprints Carolina, Inc |
|---|---|
| Speciality | Case Management |
| Location | 2020 Remount Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Richard Anderson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048842500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Carolina, Inc 1430 Old Lenoir Rd Hickory NC 28601-2574 Ph: (828) 695-8880 | Footprints Carolina, Inc 2020 Remount Rd Gastonia NC 28054-7437 Ph: (704) 524-2009 |
| NPI Number | 1730296393 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730296393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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