Organization
FOOTPRINTS IN RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MARIE KOZER BSN,RN (OWNER)
(877) 429-0713
Entity
Organization
Contact information
Practice address
4721 N CROATAN HWY, KITTY HAWK, NC 27949-8912
(877) 429-0713
(252) 441-8248
Mailing address
PO BOX 217, KILL DEVIL HILLS, NC 27948
(877) 429-0713
(252) 441-8248
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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