Organization
S E INTERVENTION GROUP, INC
Active
Other names
The Herring Houses of Dothan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY RUDOLPH KIRKLAND JR. MD (EXECUTIVE DIRECTOR)
(334) 699-3175
Entity
Organization
Contact information
Practice address
101 N HERRING ST, DOTHAN, AL 36303-4064
(334) 699-3175
(334) 699-3137
Mailing address
101 N HERRING ST, DOTHAN, AL 36303-4064
(334) 699-3175
(334) 699-3137
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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