| NPI | 1407020993 |
|---|---|
| Doing Business As | DIVINE INTERVENTIONS |
| Entity Type | Organization |
| Authorized Contact | CHONTAY DETRIA TAYLOR GLENN Founder And CEO 313-459-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI 4704208682) |
| 251S00000X (Licence: MI 470408682) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-11-04 |