Divine Koncepts, INC

Community Based Residential Treatment Facility, Mental Illness in Concord, NC. Organization (NPI-2).

NPI number1376710087

StatusActive

Last updated in NPPESMar 17, 2018

Details

NPI: 1376710087
Entity type: Organization (NPI-2)
Legal business name: Divine Koncepts, INC
Organization subpart: Yes
Enumeration date: May 12, 2008
Last updated: Mar 17, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320800000X	Community Based Residential Treatment Facility, Mental Illness	013-033	NC	Yes
320800000X	Community Based Residential Treatment Facility, Mental Illness	049-143	NC

Other names

Nllc (Other Name)

Practice location

451 Faith Dr Sw
Concord, NC 28027-6929

Phone 704-942-8410

Mailing address

Po Box 1310
Concord, NC 28026-1310

Phone 704-942-8410

Other practice locations

349 Copperfield Blvd Ne
Concord, NC 28025-2408

Phone 704-942-8410

129 Plank Barn Ln
Stony Point, NC 28678-9217

Phone 704-942-8410

Authorized official

T Shawn Gibbs
Director
7049428410

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Other Mental Illness Community Based Residential Treatment Facility providers in Concord, NC

All 17 Mental Illness Community Based Residential Treatment Facility providers in Concord · All 4,546 providers in Concord

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