| Divine Consulting Services, Inc | |
|
5910 Ga Highway 21 S Unit 6 Rincon GA 31326-5505 | |
| (912) 988-3649 | |
| (888) 572-7924 |
| Full Name | Divine Consulting Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5910 Ga Highway 21 S, Rincon, Georgia |
| Authorized Official Name and Position | Kenneith Durden (CEO/OWNER) |
| Authorized Official Contact | 4754552092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Consulting Services, Inc 5910 Ga Highway 21 S Unit 6 Rincon GA 31326-5505 Ph: (912) 988-3649 | Divine Consulting Services, Inc 5910 Ga Highway 21 S Unit 6 Rincon GA 31326-5505 Ph: (912) 988-3649 |
| NPI Number | 1871864173 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871864173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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