S E Intervention Group, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

S E INTERVENTION GROUP, INC

Doing business as

The Herring Houses of Dothan

Practice address

101 N Herring St
Dothan, AL 36303-4064

Phone

(334) 699-3175

Fax

(334) 699-3137

NPI assigned

Feb 3, 2011

Last updated

Feb 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Larry Rudolph Kirkland Jr., MD

Title

Executive Director

Phone

(334) 699-3175

Specialties & licenses 1

Addresses

Other names 1

• The Herring Houses of Dothan Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1295031524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N HERRING ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034064",
            "telephone_number": "334-699-3175",
            "fax_number": "334-699-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N HERRING ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034064",
            "telephone_number": "334-699-3175",
            "fax_number": "334-699-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S E INTERVENTION GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-699-3175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Herring Houses of Dothan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.