| NPI | 1225781560 |
|---|---|
| Doing Business As | DIVINE INTERVENTION RECOVERY |
| Other Name | DIVINE INTERVENTION RECOVERY LLC |
| Entity Type | Organization |
| Authorized Contact | ANGELA SACHSE Clinical Director 817-609-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2023-05-24 |