Organization
FOOTPRINTS IN TIME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS LOUISE KLEIN (EXECUTIVE DIRECTOR)
(231) 920-7223
Entity
Organization
Contact information
Practice address
805 MITCHELL ST., LAKE CITY, MI 49651
(231) 920-7223
(231) 839-0092
Mailing address
805 MITCHELL STREET, LAKE CITY, MI 49651
(231) 920-7223
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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