| NPI | 1093144958 |
|---|---|
| Doing Business As | DIVINE COMMUNITY BASED SERVICES |
| Entity Type | Organization |
| Authorized Contact | LINDA F DIXON Owner 817-721-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |