Organization · Type 2 NPI

Divine Supportive Homes Inc

Mental Illness Community Based Residential Treatment Facility · Raleigh, NC

NPI number 1447776430 Active

Practice location

3905 Marsh Creek Rd
Raleigh, NC 27604-4108

Fax (919) 791-9032

Mailing address

549 Irina Dr
Rolesville, NC 27571-9338

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XMHL-092-539 (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 1447776430

Divine Supportive Homes Inc's National Provider Identifier is 1447776430, issued on Aug 21, 2017. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Raleigh, NC. The record was last updated on Aug 21, 2017.