1073072260 DIVINE LEGACY
Mental Health Clinic/Center (Including Community Mental Health Center)
Active
Basic Information
- Organization Name
- DIVINE LEGACY
- Enumeration Date
- March 18, 2019
- Last Update
- March 18, 2019
- Authorized Official
- LAKESIA AYCOCK
ADMINISTRATION/MHP
Phone: (763) 439-2588
Practice Location
- Address
- 3300 COUNTY ROAD 10 STE 318
BROOKLYN CENTER, MN 554293066 - Phone
- (763) 439-2588
Mailing Address
- Address
- 3300 COUNTY ROAD 10 STE 318
BROOKLYN CENTER, MN 554293066 - Phone
- (763) 439-2588
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Corporate Health Clinic/Center Corporate Health | 261QC1800X | Clinic/Center | N/A | N/A | No |
| Adult Mental Health Clinic/Center Adult Mental Health | 261QM0850X | Clinic/Center | N/A | N/A | No |
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | Primary |
Frequently Asked Questions
What is DIVINE LEGACY's NPI number?
DIVINE LEGACY's NPI number is 1073072260.
Which doctor has NPI number 1073072260?
The doctor with NPI number 1073072260 is DIVINE LEGACY.
What is DIVINE LEGACY's practice address?
DIVINE LEGACY's practice address is 3300 COUNTY ROAD 10 STE 318, BROOKLYN CENTER, MN, 554293066.
Which doctor practices at 3300 COUNTY ROAD 10 STE 318, BROOKLYN CENTER, MN, 554293066?
DIVINE LEGACY practices at 3300 COUNTY ROAD 10 STE 318, BROOKLYN CENTER, MN, 554293066.
What is DIVINE LEGACY's phone number?
DIVINE LEGACY's phone number is (763) 439-2588.
Who is (763) 439-2588?
(763) 439-2588 is the phone number for DIVINE LEGACY.
What is DIVINE LEGACY's specialty?
DIVINE LEGACY's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is DIVINE LEGACY?
DIVINE LEGACY is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is DIVINE LEGACY a Mental Health (Including Community Mental Health Center)?
Yes, DIVINE LEGACY is a Mental Health (Including Community Mental Health Center).
Is DIVINE LEGACY still practicing?
Yes, DIVINE LEGACY is currently practicing.
Is DIVINE LEGACY accepting new patients?
DIVINE LEGACY may be accepting new patients. Please call their office at (763) 439-2588 to inquire about availability.
Is NPI 1073072260 still active?
Yes, NPI 1073072260 is currently active.
Where does DIVINE LEGACY practice?
DIVINE LEGACY practices in BROOKLYN CENTER, MN.