Basic Information
| Provider Information | |||||||||
| NPI: | 1760895957 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STRATEGIC INTERVENTIONS, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1149 | ||||||||
| Address2: | |||||||||
| City: | NEBO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287610964 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286593418 | ||||||||
| FaxNumber: | 8286593291 | ||||||||
| Practice Location | |||||||||
| Address1: | 1441 GEORGIA AVE | ||||||||
| Address2: | |||||||||
| City: | ROANOKE RAPIDS | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278704653 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286593418 | ||||||||
| FaxNumber: | 8286593291 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2014 | ||||||||
| LastUpdateDate: | 06/05/2014 | ||||||||
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| AuthorizedOfficialLastName: | LEONARD | ||||||||
| AuthorizedOfficialFirstName: | FRED | ||||||||
| AuthorizedOfficialMiddleName: | HAL | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8386593418 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.