| Divinity Recovery | |
|
20301 Ventura Blvd Ste 121 Woodland Hills CA 91364-2447 | |
| (747) 888-7911 | |
| Not Available |
| Full Name | Divinity Recovery |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20301 Ventura Blvd Ste 121, Woodland Hills, California |
| Authorized Official Name and Position | Lea Hummel (DIRECTOR) |
| Authorized Official Contact | 7478887911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divinity Recovery 20301 Ventura Blvd Ste 121 Woodland Hills CA 91364-2447 Ph: (747) 888-7911 | Divinity Recovery 20301 Ventura Blvd Ste 121 Woodland Hills CA 91364-2447 Ph: (747) 888-7911 |
| NPI Number | 1144812876 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Certification Date | 01/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144812876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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