| Divine Purpose Community Services Llc | |
|
1330 Smith Ave Baltimore MD 21209-3878 | |
| (410) 805-1070 | |
| (410) 779-1302 |
| Full Name | Divine Purpose Community Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1330 Smith Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Dejuan Felder (OWNER) |
| Authorized Official Contact | 4108051070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Purpose Community Services Llc 1330 Smith Ave Baltimore MD 21209-3878 Ph: (410) 805-1070 | Divine Purpose Community Services Llc 1330 Smith Ave Baltimore MD 21209-3878 Ph: (410) 805-1070 |
| NPI Number | 1790343762 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790343762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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