Organization
FOOTPRINTS EASTERN PA LLC
Active
Other names
Footprints to Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
YESHAYA MARKOVITS (CFO)
(732) 903-1964
Entity
Organization
Contact information
Practice address
992 OLD EAGLE SCHOOL RD STE 904, WAYNE, PA 19087-1803
(877) 293-7150
Mailing address
PO BOX 1030, BRICK, NJ 08723-0090
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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