Cory S Divine, CSAC is an addiction (substance use disorder) counselor in Madison, WI. Cory S Divine, CSAC NPI is 1558494211. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6402 ODANA RD STE 106
MADISON, WI
ZIP 53719-123
Phone: (608) 220-8627
The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/18/2023.