| Divine 5 Services Llp | |
|
155 Bankers Blvd Ste G100 Monroe GA 30655-7727 | |
| (404) 274-1378 | |
| Not Available |
| Full Name | Divine 5 Services Llp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 155 Bankers Blvd Ste G100, Monroe, Georgia |
| Authorized Official Name and Position | Elante Harris (PRESIDENT) |
| Authorized Official Contact | 4042741378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine 5 Services Llp 155 Bankers Blvd Ste G100 Monroe GA 30655-7727 Ph: (404) 274-1378 | Divine 5 Services Llp 155 Bankers Blvd Ste G100 Monroe GA 30655-7727 Ph: (404) 274-1378 |
| NPI Number | 1225700073 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225700073 | NPI | - | NPPES |
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