Organization · NPI-2

Divine Intervention Community Support Services

Community/Behavioral Health · White Plains, MD

NPI number1942532064
StatusActive
Last updated in NPPESFeb 1, 2010

Details

NPI
1942532064
Entity type
Organization (NPI-2)
Legal business name
Divine Intervention Community Support Services
Organization subpart
No
Enumeration date
Feb 1, 2010
Last updated
Feb 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

7727 Chesterfied Ct.
White Plains, MD 20695

Phone 301-885-1775

Mailing address

7727 Chesterfied Ct.
White Plains, MD 20695

Phone 301-885-1775

Authorized official

Yori C Battle
Ceo
3019087151

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