| Divine Intervention Group Inc. | |
|
90 Port Perry Rd North Versailles PA 15137-1436 | |
| (412) 583-9000 | |
| Not Available |
| Full Name | Divine Intervention Group Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 90 Port Perry Rd, North Versailles, Pennsylvania |
| Authorized Official Name and Position | Sonia Renee Harris (PRESIDENT) |
| Authorized Official Contact | 4125839000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Intervention Group Inc. 2232 Eagles Nest Ln Monroeville PA 15146-1783 Ph: (412) 583-9000 | Divine Intervention Group Inc. 90 Port Perry Rd North Versailles PA 15137-1436 Ph: (412) 583-9000 |
| NPI Number | 1043363823 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043363823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC001610 (Pennsylvania) | Primary |
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