| Divine Recovery Therapy Llc | |
|
1 Auer Ct East Brunswick NJ 08816-5823 | |
| (732) 785-4323 | |
| Not Available |
| Full Name | Divine Recovery Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Auer Ct, East Brunswick, New Jersey |
| Authorized Official Name and Position | Donna Horn-hooks (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6312912550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Recovery Therapy Llc Po Box 581 Kingston NJ 08528-0581 Ph: (732) 785-4323 | Divine Recovery Therapy Llc 1 Auer Ct East Brunswick NJ 08816-5823 Ph: (732) 785-4323 |
| NPI Number | 1053990978 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053990978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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