institution
Divine Health Group Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in La Junta, Colorado
NPI 1164120796

Divine Health Group Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in La Junta, CO and is specialized in Mental Health (Including Community Mental Health Center). Divine Health Group Llc practices in La Junta, CO. The NPI Number for Divine Health Group Llc is 1164120796 and holds a License No. (Colorado).

The current practice location address for Divine Health Group Llc is 1206 E 3Rd St, La Junta, CO and can be reached out via phone at 719-413-5261.

Location: 1206 E 3Rd St, La Junta, CO, 81050-1907
institution
Provider Profile Details
NPI Number
1164120796
Provider Name
Divine Health Group Llc
Credential
Provider Entity Type
Organization
Address
1206 E 3Rd St, La Junta, CO, 81050-1907
Phone Number
719-413-5261
Fax Number
Provider Enumeration Date
02/22/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285128413 05 CO
institution
Provider Business Practice Location Address Details
Address
1206 E 3Rd St
City
State
Zip
81050-1907
Phone Number
719-413-5261
Fax Number
person
Provider Business Mailing Address Details
Address
1206 E 3Rd St
City
State
Zip
81050-1907
Phone Number
719-413-5261
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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