| NPI | 1225700073 |
|---|---|
| Former Legal Business Name | DIVINE 5 SERVICES LLP |
| Entity Type | Organization |
| Authorized Contact | ELANTE HARRIS President 404-274-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |