Organization · Type 2 NPI

Divine Impact Behavioral Support Services LLC

Community/Behavioral Health Agency · Terrytown, LA

NPI number 1457710493 Active

Practice location

1799 Stumpf Blvd, Building 5 Suite 1
Terrytown, LA 70056-3950

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X41056835 (LA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1457710493

Divine Impact Behavioral Support Services LLC's National Provider Identifier is 1457710493, issued on Feb 18, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Terrytown, LA. The record was last updated on Feb 18, 2016.