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Organization
EL FUTURO, INC
Active
Organization
EL FUTURO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LUKE SMITH M.D. (EXECUTIVE DIRECTOR)
(919) 688-7101
Entity
Organization
Contact information
Practice address
2020 CHAPEL HILL RD., SUITE 23, DURHAM, NC 27707
(919) 688-7101
(919) 688-7102
Mailing address
2020 CHAPEL HILL RD STE 23, DURHAM, NC 27707-1186
(919) 688-7101
(919) 688-7102
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SL003464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018A5
NC BLUECROSS BLUESHIELD
NC
01
—
3579
IPRS ID NUMBER
NC
05
—
6005688
—
NC
Enumeration date
03/27/2007
Last updated
01/14/2019
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