| Divine Behavioral Services Inc. | |
|
6270 Red Oak Rd College Park GA 30349-4023 | |
| (175) 777-3234 | |
| Not Available |
| Full Name | Divine Behavioral Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6270 Red Oak Rd, College Park, Georgia |
| Authorized Official Name and Position | Sara Pacita Goddard (CEO) |
| Authorized Official Contact | 7578336290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Behavioral Services Inc. 104 Drum Pointe Newport News VA 23603-1381 Ph: () - | Divine Behavioral Services Inc. 6270 Red Oak Rd College Park GA 30349-4023 Ph: (175) 777-3234 |
| NPI Number | 1669772323 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669772323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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