| NPI | 1689409955 |
|---|---|
| Doing Business As | DIVERGE COUNSELING AND CONNECTION |
| Entity Type | Organization |
| Authorized Contact | MADELYN SIMMONS Owner 814-900-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |