Whalio Doctors

NPI 1043365646

Divine Guidance Integrative Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Greenville, NC

Practice location

Address
202 S Warren St, Greenville, NC 27858-2721
Phone
(252) 752-0551
Mailing address
2317 Executive Cir Suite B, Greenville, NC 27834-3762

Authorised official

Name
Jeffrey Ward
Title
Director
Phone
(252) 714-9056

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-074-185 (NC)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-074-181 (NC)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-074-184 (NC)

Registry record

NPI
1043365646
Entity type
Organization
NPI issued
24 Jan 2007
Record last updated
17 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.