| Divine Solutions Alliance | |
|
516 E Regent St Apt 1 Inglewood CA 90301-9000 | |
| (323) 425-7299 | |
| Not Available |
| Full Name | Divine Solutions Alliance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 516 E Regent St Apt 1, Inglewood, California |
| Authorized Official Name and Position | Lalonnie Phillips (PRESIDENT) |
| Authorized Official Contact | 3234257299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Solutions Alliance 516 E Regent St Apt 1 Inglewood CA 90301-9000 Ph: (323) 425-7299 | Divine Solutions Alliance 516 E Regent St Apt 1 Inglewood CA 90301-9000 Ph: (323) 425-7299 |
| NPI Number | 1548081011 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548081011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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