| NPI | 1629532114 |
|---|---|
| Former Legal Business Name | DIVINE HERITAGE INC |
| Entity Type | Organization |
| Authorized Contact | CHARLES OKORODUDU CEO 443-898-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |