| NPI | 1528198025 |
|---|---|
| Doing Business As | DIVINE TRANSFORMATION |
| Entity Type | Organization |
| Authorized Contact | SAMARA GRACIA Executive Director 804-306-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 89305001) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-12-05 |