location
search-icon
institution
Divine Prodigy Llc
Mental Illness Community Based Residential Treatment Facility in Henderson, North Carolina
NPI 1598997959

Divine Prodigy Llc is a Mental Illness Community Based Residential Treatment Facility based in Henderson, NC. Divine Prodigy Llc practices in Henderson, NC. The NPI Number for Divine Prodigy Llc is 1598997959 and holds a License No. 194 (North Carolina).

The current practice location address for Divine Prodigy Llc is 117 Church St, Henderson, NC and can be reached out via phone at 252-431-9115 and via fax at 252-438-6140.

Location: 117 Church St, Henderson, NC, 27536-2191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598997959
Provider Name
Divine Prodigy Llc
Credential
Provider Entity Type
Organization
Address
117 Church St, Henderson, NC, 27536-2191
Phone Number
252-431-9115
Fax Number
252-438-6140
Provider Enumeration Date
08/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
117 Church St
City
Henderson
State
North Carolina
Zip
27536-4226
Phone Number
252-431-9115
Fax Number
252-438-6140
person
Provider Business Mailing Address Details
Address
117 Church St
City
Henderson
State
North Carolina
Zip
27536-4226
Phone Number
252-431-9115
Fax Number
252-438-6140
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
194 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.