<Unavail>

LBN: Divine Behavioral Services
<Unavail> is an health care organization with primary practice located at 3781 Presidential Pkwy Suite 110, Atlanta GA 30340-3702. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Divine Behavioral Services can be contacted via phone (770) 234-9667, or through Goddard, Jamaul via phone (770) 234-9667.

Contact Information

Primary practice address
3781 Presidential Pkwy Suite 110 Atlanta GA 30340-3702
Phone: (770) 234-9667
Fax: (770) 234-9668
Website:
Map and Directions
Authorized official contact:
Name: Goddard, Jamaul
Phone: (770) 234-9667

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1427425495
LBN Legal business name Divine Behavioral Services
DBA Doing business as <Unavail>
Authorized official Goddard, Jamaul
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427425495 NPPES
Georgia MEDICAID 003160059A

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