Organization · Type 2 NPI
Divine Revitalization Management Incorporated
Adult Mental Health Clinic/Center · Dudley, NC
NPI number
1750521027
Active
Practice location
102 Trailwood Dr
Dudley, NC 28333-9466
Fax (919) 330-4601
Mailing address
205 Deluca Rd
Goldsboro, NC 27534-4417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | MHL-096-218 (NC) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Other adult mental health clinic/center providers in Dudley
About NPI 1750521027
Divine Revitalization Management Incorporated's National Provider Identifier is 1750521027, issued on Feb 26, 2009. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Dudley, NC. The record was last updated on Feb 26, 2009.