| Divine Heritage Services Llc | |
|
100 West Rd Ste 300 Towson MD 21204-2370 | |
| (667) 304-0194 | |
| Not Available |
| Full Name | Divine Heritage Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 West Rd Ste 300, Towson, Maryland |
| Authorized Official Name and Position | Faith Aregbesola (OWNER) |
| Authorized Official Contact | 6673040194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Heritage Services Llc 10630 Wennington St Middle River MD 21220-3150 Ph: (667) 304-0194 | Divine Heritage Services Llc 100 West Rd Ste 300 Towson MD 21204-2370 Ph: (667) 304-0194 |
| NPI Number | 1932932373 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932932373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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