Organization · Type 2 NPI
Divine Treatment Center LLC
Mental Health Counselor · Mesa, AZ
NPI number
1063192292
Active
Practice location
3707 E Southern Ave Ste 2077
Mesa, AZ 85206-6219
Mailing address
3707 E Southern Ave Ste 2079
Mesa, AZ 85206-6219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1063192292
Divine Treatment Center LLC's National Provider Identifier is 1063192292, issued on Jul 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Jul 21, 2023.