| NPI | 1134952864 |
|---|---|
| Former Legal Business Name | DIVINE BEHAVIORAL SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | PATRICK SURRELL Owner 601-421-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-21 |