| Divine Wisdom Intervention, Llc | |
|
115 E Harden St Ste 102 Graham NC 27253-3001 | |
| (336) 266-7975 | |
| Not Available |
| Full Name | Divine Wisdom Intervention, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 115 E Harden St Ste 102, Graham, North Carolina |
| Authorized Official Name and Position | Shanei Williams (COO) |
| Authorized Official Contact | 3363801967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Wisdom Intervention, Llc 115 E Harden St Ste 102 Graham NC 27253-3001 Ph: () - | Divine Wisdom Intervention, Llc 115 E Harden St Ste 102 Graham NC 27253-3001 Ph: (336) 266-7975 |
| NPI Number | 1437905569 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437905569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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