Divine Group Home LLC
NPI #1972266955 in Maricopa, Arizona
Provider Information
- NPI Number
- 1972266955
- Entity Type
- Organization
- Organization Name
- Divine Group Home LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 18, 2021
- Last Updated
- Oct 21, 2021
Practice Location
Authorized Official
- Name
- DIVINE KUSI
- Title
- ADMIN
- Phone
- (480) 939-0573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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