| NPI | 1912649716 |
|---|---|
| Doing Business As | DIVINE INTERVENTION RECOVERY |
| Entity Type | Organization |
| Authorized Contact | ANGELA SACHSE Clinical Director 682-300-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |