The Great Divine Center Llc

LBN: The Great Divine Center Llc
The Great Divine Center Llc is an health care organization with primary practice located at 17169 E Warren Ave , Detroit MI 48224-2279. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Multi-Specialty. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. The Great Divine Center Llc can be contacted via phone (313) 480-4766, or through Brown, Kymaletha via phone (313) 480-4766.

Contact Information

Primary practice address
17169 E Warren Ave Detroit MI 48224-2279
Phone: (313) 480-4766
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Kymaletha LLPC
Phone: (313) 480-4766

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1902558091
LBN Legal business name The Great Divine Center Llc
DBA Doing business as
Authorized official Brown, Kymaletha LLPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2022
Last updated Jan 20th, 2022 - about 4 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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