Divine Interventions

LBN: The Healing Palace Inc
Divine Interventions is an health care organization with primary practice located at 2089 Anita Ave , Grosse Pointe Woods MI 48236-1427. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. The Healing Palace Inc can be contacted via phone (313) 459-6707, or through Taylor Glenn, Chontay Detria via phone (313) 459-6707.

Contact Information

Primary practice address
2089 Anita Ave Grosse Pointe Woods MI 48236-1427
Phone: (313) 459-6707
Fax: (313) 731-0360
Website:
Map and Directions
Authorized official contact:
Name: Taylor Glenn, Chontay Detria PHD, RN, PMHNP-BC
Phone: (313) 459-6707

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 470408682 Michigan
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 4704208682 Michigan

Profile Details

NPI number 1407020993
LBN Legal business name The Healing Palace Inc
DBA Doing business as Divine Interventions
Authorized official Taylor Glenn, Chontay Detria PHD, RN, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2008
Last updated Nov 4th, 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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