DIVINE INTERVENTION TREATMENT FACILITY LLC

VIOLET, LA
NPI1699274860
Entity TypeOrganization
Authorized ContactTERIONE MONIQUE BROCK
Owner/Manager
504-415-9371
Organization Subpart ?No
Primary Taxonomy276400000X Rehabilitation, Substance Use Disorder Unit
Additional Taxonomies261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2018-02-02
Last Update Date2018-02-02
Business Address
DIVINE INTERVENTION TREATMENT FACILITY LLC
5665 6TH ST
VIOLET, LA 70092-3040
Phone number: 504-415-9371
Mailing Address
DIVINE INTERVENTION TREATMENT FACILITY LLC
PO BOX 259
VIOLET, LA 70092-0259
Phone number: 504-415-9371