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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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