| Structured Family Interventions, Llc | |
|
6011 Fayetteville Rd Suite 104-c Durham NC 27713-6248 | |
| (919) 416-0800 | |
| (919) 416-0804 |
| Full Name | Structured Family Interventions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6011 Fayetteville Rd, Durham, North Carolina |
| Authorized Official Name and Position | Dorian Locklear (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9194160800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Structured Family Interventions, Llc 6011 Fayetteville Rd Suite 104-c Durham NC 27713-6248 Ph: (919) 416-0800 | Structured Family Interventions, Llc 6011 Fayetteville Rd Suite 104-c Durham NC 27713-6248 Ph: (919) 416-0800 |
| NPI Number | 1710289541 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710289541 | NPI | - | NPPES |
| 3410105 | Medicaid | NC | |
| 5950736 | Medicaid | NC | |
| 8302972 | Medicaid | NC | |
| 6008042 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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