Organization · Type 2 NPI
Divine Intervention Recovery Center, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Enon, OH
NPI number
1912648528
Active
Practice location
7373 Dayton Springfield Rd
Enon, OH 45323-1462
Fax (937) 340-7004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
10 other providers at this address
- Divine Intervention Recovery Center, LLCSubstance Use Disorder Rehabilitation Clinic/Center Enon, OH NPI 1093430126
- Divine Intervention Recovery Center, LLCCommunity/Behavioral Health Agency Enon, OH NPI 1629756176
- Alicia Bendall, LPNLicensed Practical Nurse Enon, OH NPI 1922939560
- Bradley Bendall, CDCAAddiction (Substance Use Disorder) Counselor Enon, OH NPI 1821895590
- Brian Ridge, RNRegistered Nurse Enon, OH NPI 1144127333
- Jeffrey LynchAddiction (Substance Use Disorder) Counselor Enon, OH NPI 1194636902
- Jessica Deese, CDCAAddiction (Substance Use Disorder) Counselor Enon, OH NPI 1356028427
- Kaitlynn Ault, CDCAAddiction (Substance Use Disorder) Counselor Enon, OH NPI 1811740533
- Katherine BendallSocial Worker Enon, OH NPI 1710426788
- Pamela Helton, CDCAAddiction (Substance Use Disorder) Counselor Enon, OH NPI 1982543328
About NPI 1912648528
Divine Intervention Recovery Center, LLC's National Provider Identifier is 1912648528, issued on Apr 6, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Enon, OH. The record was last updated on Oct 10, 2022.