1598997959 DIVINE PRODIGY LLC

Mental Illness Community Based Residential Treatment Facility

Active

Basic Information

Organization Name
DIVINE PRODIGY LLC
Enumeration Date
August 19, 2009
Last Update
September 2, 2009
Authorized Official
MISS NIKKITRA SHYVONNE WILLIAMS
OWNER
Phone: (252) 431-9115

Practice Location

Address
117 CHURCH ST
115 CARMEL RIDGE RD
HENDERSON, NC 275364226
Phone
(252) 431-9115
Fax
(252) 438-6140

Mailing Address

Address
PO BOX 2191
HENDERSON, NC 275362191
Phone
(252) 431-9115
Fax
(252) 438-6140

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Illness Community Based Residential Treatment Facility
320800000X Community Based Residential Treatment Facility, Mental Illness 194 NC Primary

Frequently Asked Questions

What is DIVINE PRODIGY LLC's NPI number?
DIVINE PRODIGY LLC's NPI number is 1598997959.
Which doctor has NPI number 1598997959?
The doctor with NPI number 1598997959 is DIVINE PRODIGY LLC.
What is DIVINE PRODIGY LLC's practice address?
DIVINE PRODIGY LLC's practice address is 117 CHURCH ST, 115 CARMEL RIDGE RD, HENDERSON, NC, 275364226.
Which doctor practices at 117 CHURCH ST, 115 CARMEL RIDGE RD, HENDERSON, NC, 275364226?
DIVINE PRODIGY LLC practices at 117 CHURCH ST, 115 CARMEL RIDGE RD, HENDERSON, NC, 275364226.
What is DIVINE PRODIGY LLC's mailing address?
DIVINE PRODIGY LLC's mailing address is PO BOX 2191, HENDERSON, NC, 275362191.
What is DIVINE PRODIGY LLC's phone number?
DIVINE PRODIGY LLC's phone number is (252) 431-9115.
Who is (252) 431-9115?
(252) 431-9115 is the phone number for DIVINE PRODIGY LLC.
What is DIVINE PRODIGY LLC's specialty?
DIVINE PRODIGY LLC's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is DIVINE PRODIGY LLC?
DIVINE PRODIGY LLC is a Mental Illness Community Based Residential Treatment Facility.
Is DIVINE PRODIGY LLC a Community Based Residential Treatment Facility, Mental Illness?
Yes, DIVINE PRODIGY LLC is a Community Based Residential Treatment Facility, Mental Illness.
Is DIVINE PRODIGY LLC still practicing?
Yes, DIVINE PRODIGY LLC is currently practicing.
Is DIVINE PRODIGY LLC accepting new patients?
DIVINE PRODIGY LLC may be accepting new patients. Please call their office at (252) 431-9115 to inquire about availability.
Is NPI 1598997959 still active?
Yes, NPI 1598997959 is currently active.
Where does DIVINE PRODIGY LLC practice?
DIVINE PRODIGY LLC practices in HENDERSON, NC.