DIVINE BLISS INC. NPI 1144795261

NPI Information

DIVINE BLISS, INC. is a substance abuse rehabilitation facility in Costa Mesa, CA. The provider is 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. DIVINE BLISS, INC. NPI is 1144795261. The provider is registered as an organization entity type.
The provider Is Doing Business As The Ho Tai Way.

The provider's business location address is:

1219 PARNELL PL
COSTA MESA, CA
ZIP 92626-737
Phone: (714) 581-3974

The provider's authorized official is Serena Gupta .
The authorized official title is President and has the following contact phone number (714) 606-4012.

The CLIA number assigned to this NPI record is 05D2170269 - other - substance abuse with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2018 and was last updated on 6/11/2019.

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:

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