NPI 1205161999

The Footprints Group, LLC

Organisation Exclusive Provider Organization Walkertown, NC

Practice location

Address: 4729 Cale CT, Walkertown, NC 27051-9516
Phone: (336) 749-6553
Fax: (336) 727-1158
Mailing address: PO Box 100, Walkertown, NC 27051-0100

Authorised official

Name: Darlette Drummond
Title: Ceo
Phone: (336) 749-6553

Registered specialties (2)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in North Carolina →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in North Carolina →

Registry record

NPI: 1205161999
Entity type: Organization
NPI issued: 13 Oct 2009
Record last updated: 13 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.