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NPI Code Detail

MEDICARE: STRATEGIC INTERVENTIONS INC

MEDICARE: STRATEGIC INTERVENTIONS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyMHL-012-128NC

General Provider Information

NPI Number : 1740552520
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRATEGIC INTERVENTIONS INC
Provider Business Mailing Address
First Line : PO BOX 1149
Second Line :
City : NEBO
State : NC
Zip : 28761-0964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 E MEETING ST
Second Line :
City : MORGANTON
State : NC
Zip : 28655-3593
Country : US
Telephone Number : 828-659-3418
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : FRED H LEONARD
Credential :
Telephone Number : 828-659-3418
Provider Enumeration Date : 02/08/2012
Last Update Date : 02/08/2012

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