Divine Guidance Integrative Services in Greenville - Residential Treatment Facility, Emotionally Disturbed Children
Divine Guidance Integrative Services - NPI 1043365646
Divine Guidance Integrative Services is a Residential Treatment Facility, Emotionally Disturbed Children in Greenville, North Carolina. Divine Guidance Integrative Services practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Divine Guidance Integrative Services is 1043365646. The last update date is 2007-07-17.
Divine Guidance Integrative Services's current location address is 202 S Warren St, Greenville, North Carolina. You can contact this provider via phone number 2527520551. The mailing address for Divine Guidance Integrative Services is 202 S Warren St, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Guidance Integrative Services |
|---|---|
| Address | 202 S Warren St, Greenville, North Carolina |
| Phone Number | 2527520551 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Ward Jeffrey |
| Telephone Number | 2527149056 |
NPI Number Detail
| NPI Number | 1043365646 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 202 S Warren St |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 278582721 |
| Phone Number | 2527520551 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-074-181 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6604166 | NC | -- | |
| 6604167 | NC | -- | |
| 6604099 | NC | -- | |
| 8301931B | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Divine Guidance Integrative Services by the Centers for Medicare & Medicaid Services?
The Divine Guidance Integrative Services has been issued the NPI (National Provider Identifier) 1043365646. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Divine Guidance Integrative Services is physically located?
The Divine Guidance Integrative Services is situated at the following address: 202 S Warren St, Greenville, NC 278582721.
What is Divine Guidance Integrative Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Divine Guidance Integrative Services's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043365646 to Divine Guidance Integrative Services?
The Centers for Medicare & Medicaid Services originally issued the 1043365646 to Divine Guidance Integrative Services on 2007-01-24.
As of what date were the Divine Guidance Integrative Services's details last updated?
The information pertaining to the Divine Guidance Integrative Services, including its address, specialty, and other details, was most recently updated on 2007-07-17.