| Divine Healthcare | |
|
1778 Grande View Ave Severn MD 21144-3333 | |
| (410) 551-5849 | |
| (410) 551-0685 |
| Full Name | Divine Healthcare |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1778 Grande View Ave, Severn, Maryland |
| Authorized Official Name and Position | Abimbola Hillard (PRESIDENT) |
| Authorized Official Contact | 4105515849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Healthcare 1778 Grande View Ave Severn MD 21144-3333 Ph: (410) 551-5849 | Divine Healthcare 1778 Grande View Ave Severn MD 21144-3333 Ph: (410) 551-5849 |
| NPI Number | 1780349639 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780349639 | NPI | - | NPPES |
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