| NPI | 1245969245 |
|---|---|
| Doing Business As | DEVINE CARE OUTPATIENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID ORIABURE Administrator 623-330-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2024-11-25 |