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Divine Recovery Services Llc
Mental Illness Community Based Residential Treatment Facility in Creedmoor, North Carolina
NPI 1770144420

Divine Recovery Services Llc is a Mental Illness Community Based Residential Treatment Facility based in Creedmoor, NC. Divine Recovery Services Llc practices in Creedmoor, NC. The NPI Number for Divine Recovery Services Llc is 1770144420 and holds a License No. (North Carolina).

The current practice location address for Divine Recovery Services Llc is 2775 Clifton Ave, Creedmoor, NC and can be reached out via phone at 919-529-0325.

Location: 2775 Clifton Ave, Creedmoor, NC, 27522-9511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770144420
Provider Name
Divine Recovery Services Llc
Credential
Provider Entity Type
Organization
Address
2775 Clifton Ave, Creedmoor, NC, 27522-9511
Phone Number
919-529-0325
Fax Number
Provider Enumeration Date
06/24/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2775 Clifton Ave
City
Creedmoor
State
North Carolina
Zip
27522-9511
Phone Number
919-529-0325
Fax Number
person
Provider Business Mailing Address Details
Address
2775 Clifton Ave
City
Creedmoor
State
North Carolina
Zip
27522-9511
Phone Number
919-529-0325
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Behavioral Neurology & Neuropsychiatry
Taxonomy
2084B0040X
License No.
()
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
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 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 6
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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