Organization · Type 2 NPI

Divine Group Home LLC

Community/Behavioral Health Agency · Maricopa, AZ

NPI number 1972266955 Active

Practice location

40352 W Molly Ln # A
Maricopa, AZ 85138-5158

Call (480) 939-0573 Map

Mailing address

40352 W Molly Ln
Maricopa, AZ 85138-5158

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1972266955

Divine Group Home LLC's National Provider Identifier is 1972266955, issued on Oct 18, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Maricopa, AZ. The record was last updated on Oct 21, 2021.