Organization · NPI-2

Divinity Youth And Family Services

Case Management · Cedar Hill, TX

NPI number1578878427
StatusActive
Last updated in NPPESNov 2, 2010

Details

NPI
1578878427
Entity type
Organization (NPI-2)
Legal business name
Divinity Youth And Family Services
Organization subpart
No
Enumeration date
Aug 16, 2010
Last updated
Nov 2, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management52756TXYes
104100000X Social Worker––
172V00000X Community Health Worker––

Practice location

108 Cambridge Dr
Cedar Hill, TX 75104-2716

Phone 469-245-9640 · Fax 972-291-1342

Mailing address

108 Cambridge Dr
Cedar Hill, TX 75104-2716

Phone 469-245-9640 · Fax 972-291-1342

Authorized official

Lola M Garrett-Spears
Founder
4692459640

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