Divine Guidance Integrative Services

LBN: Divine Guidance Integrative Services
Divine Guidance Integrative Services is an health care organization with primary practice located at 202 S Warren St , Greenville NC 27858-2721. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Divine Guidance Integrative Services can be contacted via phone (252) 752-0551, or through Ward, Jeffrey via phone (252) 714-9056.

Contact Information

Primary practice address
202 S Warren St Greenville NC 27858-2721
Phone: (252) 752-0551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ward, Jeffrey
Phone: (252) 714-9056

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-074-181 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-074-184 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-074-185 North Carolina

Profile Details

NPI number 1043365646
LBN Legal business name Divine Guidance Integrative Services
DBA Doing business as
Authorized official Ward, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 17th, 2007 - about 19 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 1043365646 NPPES
North Carolina MEDICAID 6604166
North Carolina MEDICAID 6604167
North Carolina MEDICAID 6604099
North Carolina MEDICAID 8301931B

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