| Divine Developmental Services LLC | |
|
53 Wyndham Ln Holbrook NY 11741-2886 | |
| (631) 521-6063 | |
| Not Available |
| Full Name | Divine Developmental Services LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 53 Wyndham Ln, Holbrook, New York |
| Authorized Official Name and Position | Lauren Camille Giordano (OWNER) |
| Authorized Official Contact | 6315216063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Developmental Services LLC 53 Wyndham Ln Holbrook NY 11741-2886 Ph: (631) 521-6063 | Divine Developmental Services LLC 53 Wyndham Ln Holbrook NY 11741-2886 Ph: (631) 521-6063 |
| NPI Number | 1184553984 |
|---|---|
| Provider Enumeration Date | 05/18/2026 |
| Last Update Date | 05/18/2026 |
| Certification Date | 05/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184553984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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