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Divine Health Support Llc
Mental Illness Community Based Residential Treatment Facility in Woodbridge, Virginia
NPI 1225426083

Divine Health Support Llc is a Mental Illness Community Based Residential Treatment Facility based in Woodbridge, VA. Divine Health Support Llc practices in Woodbridge, VA. The NPI Number for Divine Health Support Llc is 1225426083 and holds a License No. (Virginia).

The current practice location address for Divine Health Support Llc is 2050 Hanson Ln, Woodbridge, VA and can be reached out via phone at 571-331-8483 and via fax at 703-551-0012.

Location: 2050 Hanson Ln, Woodbridge, VA, 22191-4545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225426083
Provider Name
Divine Health Support Llc
Credential
Provider Entity Type
Organization
Address
2050 Hanson Ln, Woodbridge, VA, 22191-4545
Phone Number
571-331-8483
Fax Number
703-551-0012
Provider Enumeration Date
01/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2050 Hanson Ln
City
Woodbridge
State
Virginia
Zip
22191-4545
Phone Number
571-331-8483
Fax Number
703-551-0012
person
Provider Business Mailing Address Details
Address
2050 Hanson Ln
City
Woodbridge
State
Virginia
Zip
22191-4545
Phone Number
571-331-8483
Fax Number
703-551-0012
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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