Organization · Type 2 NPI

Divine Residential Services, LLC

Mental Illness Community Based Residential Treatment Facility · Richmond, VA

NPI number 1114101342 Active

Practice location

6206 Manuel Ct
Richmond, VA 23234-5894

Call (804) 918-1433 Map

Mailing address

12501 Chesdin Landing Dr
Chesterfield, VA 23838-3230

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X89305001 (VA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1114101342

Divine Residential Services, LLC's National Provider Identifier is 1114101342, issued on Dec 24, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Richmond, VA. The record was last updated on Dec 24, 2007.