Divine Koncepts, INC
NPI #1205093440 in Stony Point, North Carolina
Provider Information
- NPI Number
- 1205093440
- Entity Type
- Organization
- Organization Name
- Divine Koncepts, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DIVINE KONCEPTS
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- May 16, 2008
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 129 PLANK BARN LN
- City
- Stony Point
- State
- North Carolina
- ZIP Code
- 28678-9217
- Phone
- (704) 942-8410
Authorized Official
- Name
- T SHAWN GIBBS
- Title
- DIRECTOR
- Phone
- (704) 942-8410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
Additional Practice Locations
451 Faith Dr SW
Concord, NC, 28027-6929
(704) 942-8410
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