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1568121424
DIVINE LIGHT RESIDENTIAL TREATMENT LLC
BALTIMORE, MD
NPI
1568121424
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Entity Type
Organization
Authorized Contact
SAKINA PARKS
CEO
267-278-1079
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
DIVINE LIGHT RESIDENTIAL TREATMENT LLC
1200 W BALTIMORE ST
BALTIMORE, MD 21223-2601
Phone number: 667-309-7643
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Mailing Address
DIVINE LIGHT RESIDENTIAL TREATMENT LLC
1200 W BALTIMORE ST
BALTIMORE, MD 21223-2601
Phone number: 667-309-7643
Copy
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