Divine Revitalization Management Incorporated
NPI #1750521027 in Dudley, North Carolina
Provider Information
- NPI Number
- 1750521027
- Entity Type
- Organization
- Organization Name
- Divine Revitalization Management Incorporated
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 26, 2009
- Last Updated
- Feb 26, 2009
Practice Location
- Address
- 102 TRAILWOOD DR
- City
- Dudley
- State
- North Carolina
- ZIP Code
- 28333-9466
- Phone
- (919) 330-4601
Authorized Official
- Name
- MS. ROCHELLE NICOLE HERRING, BS
- Title
- OWNER
- Phone
- (919) 396-2586
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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