Provider Demographics
NPI:1104226497
Name:FOOTSTEPS TO FREEDOM RECOVERY
Entity type:Organization
Organization Name:FOOTSTEPS TO FREEDOM RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELMARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-678-0078
Mailing Address - Street 1:3319 STATE ROAD 7 STE 301
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8093
Mailing Address - Country:US
Mailing Address - Phone:954-678-0078
Mailing Address - Fax:954-634-3912
Practice Address - Street 1:3319 STATE ROAD 7 STE 301
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8093
Practice Address - Country:US
Practice Address - Phone:954-678-0078
Practice Address - Fax:954-634-3912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder