Organization · Type 2 NPI
Divine Heart LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ
NPI number
1902567084
Active
Practice location
1650 W Southern Ave Ste 3
Phoenix, AZ 85041-4627
Mailing address
21903 S 187th Way
Queen Creek, AZ 85142-6463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1902567084
Divine Heart LLC's National Provider Identifier is 1902567084, issued on Jan 1, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 14, 2023.