| NPI | 1073171021 |
|---|---|
| Other Name | DIVINITY RECOVERY |
| Entity Type | Organization |
| Authorized Contact | LEA HUMMEL Director 747-249-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 363L00000X Nurse Practitioner | |
| 1041C0700X Social Worker, Clinical | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2025-12-06 |