Organization
GOLDEN FOOTPRINT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD SMITH (CEO)
(919) 271-8146
Entity
Organization
Contact information
Practice address
108 S BRAGG ST, SUITE 6, WARRENTON, NC 27589-2048
(919) 271-8146
(919) 460-0776
Mailing address
718 N HARRISON AVE, CARY, NC 27513-5431
(919) 271-8146
(919) 460-0776
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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