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Divine Light Residential Treatment Llc
Substance Abuse Rehabilitation Facility in Baltimore, Maryland
NPI 1568121424

Divine Light Residential Treatment Llc is a Substance Abuse Rehabilitation Facility based in Baltimore, MD. Divine Light Residential Treatment Llc practices in Baltimore, MD. The NPI Number for Divine Light Residential Treatment Llc is 1568121424 and holds a License No. (Maryland).

The current practice location address for Divine Light Residential Treatment Llc is 1200 W Baltimore St, Baltimore, MD and can be reached out via phone at 667-309-7643.

Location: 1200 W Baltimore St, Baltimore, MD, 21223-2601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568121424
Provider Name
Divine Light Residential Treatment Llc
Credential
Provider Entity Type
Organization
Address
1200 W Baltimore St, Baltimore, MD, 21223-2601
Phone Number
667-309-7643
Fax Number
Provider Enumeration Date
12/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 W Baltimore St
City
Baltimore
State
Maryland
Zip
21223-2601
Phone Number
667-309-7643
Fax Number
person
Provider Business Mailing Address Details
Address
1200 W Baltimore St
City
Baltimore
State
Maryland
Zip
21223-2601
Phone Number
667-309-7643
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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