Organization · Type 2 NPI

Divine Center, Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chicago, IL

NPI number 1831545268 Active

Practice location

8351 S Marquette Ave
Chicago, IL 60617-2022

Call (773) 721-6535 Map

Fax (773) 721-7065

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X200400002C (IL)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1831545268

Divine Center, Inc's National Provider Identifier is 1831545268, issued on May 4, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Chicago, IL. The record was last updated on May 4, 2016.