| NPI | 1528758059 |
|---|---|
| Doing Business As | DIVINITY HEALTH CENTRE |
| Entity Type | Organization |
| Authorized Contact | DIDIER TWAGIRAYEZU CEO 817-480-3474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |