institution
Divine Koncepts, Inc
Mental Illness Community Based Residential Treatment Facility in Rockingham, North Carolina
NPI 1497857833

Divine Koncepts, Inc is a Mental Illness Community Based Residential Treatment Facility based in Ellerbe, NC. Divine Koncepts, Inc practices in Rockingham, NC. The NPI Number for Divine Koncepts, Inc is 1497857833 and holds a License No. RES/CAP/CIS (North Carolina).

The current practice location address for Divine Koncepts, Inc is 1219 Rockingham Rd, Rockingham, NC and can be reached out via phone at 910-417-4950 and via fax at 910-417-4953.

Location: 1219 Rockingham Rd, Rockingham, NC, 28338-0462
institution
Provider Profile Details
NPI Number
1497857833
Provider Name
Divine Koncepts, Inc
Credential
Provider Entity Type
Organization
Address
1219 Rockingham Rd, Rockingham, NC, 28338-0462
Phone Number
910-417-4950
Fax Number
910-417-4953
Provider Enumeration Date
09/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805610 05 NC
3418060 05 NC
8300948 05 NC
institution
Provider Business Practice Location Address Details
Address
1219 Rockingham Rd
City
State
Zip
28379-4983
Phone Number
910-417-4950
Fax Number
910-417-4953
person
Provider Business Mailing Address Details
Address
1219 Rockingham Rd
City
State
Zip
28379-4983
Phone Number
910-417-4950
Fax Number
910-417-4953
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
MHL-077-044 (North Carolina)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
RES/CAP/CIS (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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