DIVINE LIFE INSTITUTE LLC NPI 1790258523

NPI Information

NPI: 1790258523
Provider Name: DIVINE LIFE INSTITUTE LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
75 ARLINGTON ST STE 500
BOSTON, MA
ZIP 02116
Phone: (978) 381-9007
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DIVINE LIFE INSTITUTE LLC is a mental health (including community mental health center) clinic center in Boston, MA. DIVINE LIFE INSTITUTE LLC NPI is 1790258523. The provider is registered as an organization entity type.

The provider's business location address is:

75 ARLINGTON ST STE 500
BOSTON, MA
ZIP 02116-936
Phone: (978) 381-9007
Fax: (855) 420-6895

The provider's authorized official is Jeannette Belizaire .
The authorized official title is Owner and has the following contact phone number (978) 381-9007.

The enumeration date for this NPI number is 1/4/2019 and was last updated on 1/4/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	253Z00000X	In Home Supportive Care		No
2	310400000X	Assisted Living Facility		No
3	311ZA0620X	Custodial Care Facility	Adult Care Home	No
4	261Q00000X	Clinic/Center		No
5	261QA0600X	Clinic/Center	Adult Day Care	No
6	261QC1500X	Clinic/Center	Community Health	No
7	261QM0850X	Clinic/Center	Adult Mental Health	No
8	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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

NPI Synchronization or Removal

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