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Organization
STRUCTURED FAMILY INTERVENTIONS, LLC
Active
Organization
STRUCTURED FAMILY INTERVENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DORIAN LOCKLEAR (EXECUTIVE DIRECTOR)
(919) 416-0800
Entity
Organization
Contact information
Practice address
6011 FAYETTEVILLE RD, SUITE 104-C, DURHAM, NC 27713-6248
(919) 416-0800
(919) 416-0804
Mailing address
6011 FAYETTEVILLE RD, SUITE 104-C, DURHAM, NC 27713-6248
(919) 416-0800
(919) 416-0804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410105
—
NC
05
—
5950736
—
NC
05
—
6008042
—
NC
05
—
8302972
—
NC
Enumeration date
11/30/2010
Last updated
01/26/2015
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