LAVISH DIVINE SERVICES INC. is an adult mental health clinic center in St Louis Park, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LAVISH DIVINE SERVICES INC. NPI is 1588308639. The provider is registered as an organization entity type.
The provider's business location address is:
7204 W 27TH ST STE 213
ST LOUIS PARK, MN
ZIP 55426-113
Phone: (952) 297-2348
Fax: (651) 780-7085
The provider's authorized official is Fardosa Hassan .
The authorized official title is Owner and has the following contact phone number (952) 297-2348.
The enumeration date for this NPI number is 4/25/2022 and was last updated on 4/25/2022.