| NPI | 1205584463 |
|---|---|
| Doing Business As | DIVINE INTERVENTION BEHAVIOR THERAPY |
| Entity Type | Organization |
| Authorized Contact | BELINDA BATES Owner 267-410-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-06-17 |