| Divine Works | |
|
4100 Virginia Beach Blvd Virginia Beach VA 23452-1744 | |
| (757) 779-4493 | |
| Not Available |
| Full Name | Divine Works |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4100 Virginia Beach Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Anthony Peterkin (CASE MANAGER SUPERVISOR) |
| Authorized Official Contact | 7577794493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Works 5735 E Hastings Arch Virginia Beach VA 23462-1506 Ph: (757) 779-4493 | Divine Works 4100 Virginia Beach Blvd Virginia Beach VA 23452-1744 Ph: (757) 779-4493 |
| NPI Number | 1811375017 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 05/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811375017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710102368 (Virginia) | Primary |
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