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1447930706
DIVINE HEALTH PSYCHIATRIC SERVICES LLC
REISTERSTOWN, MD
NPI
1447930706
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Entity Type
Organization
Authorized Contact
EMMANUEL GBALA
President
443-204-3919
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2023-07-21
Last Update Date
2023-07-21
Business Address
DIVINE HEALTH PSYCHIATRIC SERVICES LLC
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136-3023
Phone number: 443-204-3919
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Mailing Address
DIVINE HEALTH PSYCHIATRIC SERVICES LLC
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136-3023
Phone number: 443-204-3919
Copy
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