Divine Guidance Integrative Services
Residential Treatment Facility, Emotionally Disturbed Children in Greenville, NC. Organization (NPI-2).
NPI number1497963136
StatusActive
Last updated in NPPESJul 31, 2007
Details
- NPI
- 1497963136
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Guidance Integrative Services
- Organization subpart
- No
- Enumeration date
- May 18, 2007
- Last updated
- Jul 31, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-074-185 | NC | Yes |
Practice location
321 Scottish CtGreenville, NC 27858-8974
Phone 252-752-9102 · Fax 252-695-6026
Mailing address
2317 Executive CirSuite B
Greenville, NC 27834-3762
Phone 252-695-6040 · Fax 252-695-6026
Authorized official
Jeffrey Ward
Director
2527149056
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