Divine Solutions Alliance | |
516 E Regent St Apt 1 Inglewood CA 90301-9000 | |
(323) 425-7299 | |
Not Available |
Full Name | Divine Solutions Alliance |
---|---|
Speciality | Community/behavioral Health |
Location | 516 E Regent St Apt 1, Inglewood, California |
Authorized Official Name and Position | Lalonnie Phillips (PRESIDENT) |
Authorized Official Contact | 3234257299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Divine Solutions Alliance 516 E Regent St Apt 1 Inglewood CA 90301-9000 Ph: (323) 425-7299 | Divine Solutions Alliance 516 E Regent St Apt 1 Inglewood CA 90301-9000 Ph: (323) 425-7299 |
NPI Number | 1548081011 |
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Provider Enumeration Date | 10/17/2024 |
Last Update Date | 10/17/2024 |
Certification Date | 10/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548081011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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