Divine Intervention Recovery Center, LLC

NPI #1629756176 in Enon, Ohio

Provider Information

NPI Number
1629756176
Entity Type
Organization
Organization Name
Divine Intervention Recovery Center, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 6, 2023
Last Updated
Jul 6, 2023

Practice Location

Address
7373 DAYTON SPRINGFIELD RD
City
Enon
State
Ohio
ZIP Code
45323-1462
Phone
(937) 862-0008

Authorized Official

Name
FAYETTA BARRON, LISW-S
Title
DIRECTOR OF CLINICAL SERVICES
Phone
(937) 862-0008

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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