Organization · Type 2 NPI

Divine Light Residential Treatment LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD

NPI number 1730890146 Active

Practice location

1200 W Baltimore St
Baltimore, MD 21223-2601

Fax (667) 210-2879

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

4 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Baltimore

See all in Baltimore →

About NPI 1730890146

Divine Light Residential Treatment LLC's National Provider Identifier is 1730890146, issued on Dec 6, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Baltimore, MD. The record was last updated on Dec 6, 2022.