Divine Touch Therapeutic Counseling And Mentoring Services , LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Pasadena, MD. Organization (NPI-2).
NPI number1386155968
StatusActive
Last updated in NPPESOct 23, 2017
Details
- NPI
- 1386155968
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Touch Therapeutic Counseling And Mentoring Services , LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2017
- Last updated
- Oct 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
107 Mountain Rd Ste DPasadena, MD 21122-7159
Phone 240-481-9962
Mailing address
107 Mountain Rd Ste DPasadena, MD 21122-7159
Authorized official
Boladale Wuraola Adegoroye
Clinical Director
2404819962
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