NPI 1295031524
S E Intervention Group, INC
Practice location
- Address
- 101 N Herring St, Dothan, AL 36303-4064
- Phone
- (334) 699-3175
- Fax
- (334) 699-3137
Authorised official
- Name
- Larry Rudolph Kirkland
- Title
- Executive Director
- Phone
- (334) 699-3175
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1295031524
- Entity type
- Organization
- NPI issued
- 3 Feb 2011
- Record last updated
- 3 Feb 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.