| Divine Interventions | |
|
1792 Pergola Pl Charlotte NC 28213-2107 | |
| (704) 230-9015 | |
| Not Available |
| Full Name | Divine Interventions |
|---|---|
| Speciality | Counselor |
| Location | 1792 Pergola Pl, Charlotte, North Carolina |
| Authorized Official Name and Position | Kyshia A Jones (OWNER) |
| Authorized Official Contact | 7042309015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Interventions 1792 Pergola Pl Charlotte NC 28213-2107 Ph: (704) 230-9015 | Divine Interventions 1792 Pergola Pl Charlotte NC 28213-2107 Ph: (704) 230-9015 |
| NPI Number | 1699004010 |
|---|---|
| Provider Enumeration Date | 12/14/2009 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699004010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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