| Divine Intervention Recovery Center, Llc | |
|
7373 Dayton Springfield Rd Enon OH 45323-1462 | |
| (937) 862-0008 | |
| Not Available |
| Full Name | Divine Intervention Recovery Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7373 Dayton Springfield Rd, Enon, Ohio |
| Authorized Official Name and Position | Fayetta Barron (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 9378620008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Intervention Recovery Center, Llc 7373 Dayton Springfield Rd Enon OH 45323-1462 Ph: (937) 862-0008 | Divine Intervention Recovery Center, Llc 7373 Dayton Springfield Rd Enon OH 45323-1462 Ph: (937) 862-0008 |
| NPI Number | 1629756176 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629756176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Barron & Bendall Healing Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 E Main St, Enon, OH 45323 Phone: 937-797-1926 | |
Divine Intervention Recovery Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7373 Dayton Springfield Rd, Enon, OH 45323 Phone: 937-862-0008 Fax: 937-340-7004 |