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DIVINE GUIDANCE INTEGRATIVE SERVICES NPI 1043365646


NPI Information

NPI: 1043365646
Provider Name: DIVINE GUIDANCE INTEGRATIVE SERVICES
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
202 S WARREN ST
GREENVILLE, NC
ZIP 27858
Phone: (252) 752-0551
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DIVINE GUIDANCE INTEGRATIVE SERVICES is a residential treatment facility emotionally disturbed children in Greenville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. DIVINE GUIDANCE INTEGRATIVE SERVICES NPI is 1043365646. The provider is registered as an organization entity type.

The provider's business location address is:

202 S WARREN ST
GREENVILLE, NC
ZIP 27858-721
Phone: (252) 752-0551

The provider's authorized official is Jeffrey Ward .
The authorized official title is Director and has the following contact phone number (252) 714-9056.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 7/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-074-181NORTH CAROLINANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-074-184NORTH CAROLINANo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-074-185NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16604166MEDICAIDNORTH CAROLINA
26604167MEDICAIDNORTH CAROLINA
36604099MEDICAIDNORTH CAROLINA
48301931BMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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