| Divine Intervention For Youth Inc. | |
|
203 Green Street Williamston NC 27892 | |
| (252) 789-8378 | |
| (252) 789-8379 |
| Full Name | Divine Intervention For Youth Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 203 Green Street, Williamston, North Carolina |
| Authorized Official Name and Position | Aquisha Carr (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2529472012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Intervention For Youth Inc. Po Box 2982 Washington NC 27889 Ph: (252) 789-8378 | Divine Intervention For Youth Inc. 203 Green Street Williamston NC 27892 Ph: (252) 789-8378 |
| NPI Number | 1659543932 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659543932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Divine Interventions Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Williamston, NC 27892 Phone: 252-325-6322 | |
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