Organization · Type 2 NPI
Divine Koncepts, Inc
Mental Illness Community Based Residential Treatment Facility · Concord, NC
NPI number
1376710087
Active
Practice location
451 Faith Dr SW
Concord, NC 28027-6929
Mailing address
PO Box 1310
Concord, NC 28026-1310
Other practice locations
- 349 Copperfield Blvd NE, Concord, NC 28025-2408 · (704) 942-8410
- 129 Plank Barn Ln, Stony Point, NC 28678-9217 · (704) 942-8410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 049-143 (NC) |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 013-033 (NC) |
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 1376710087
Divine Koncepts, Inc's National Provider Identifier is 1376710087, issued on May 12, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Concord, NC. The record was last updated on Mar 17, 2018.