NPI 1154915684
D.I.V.I.N.E. Institute, INC.
Practice location
- Address
- 729 Penn Ave N, Minneapolis, MN 55411-3625
- Phone
- (612) 459-7011
- Fax
- (651) 409-9530
- Mailing address
- 838 Stellar Pl, Saint Paul, MN 55117-5446
Authorised official
- Name
- Aretta-Rie Johnson
- Title
- Ceo
- Phone
- (651) 447-5120
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1154915684
- Entity type
- Organization
- NPI issued
- 25 Feb 2021
- Record last updated
- 25 Feb 2021
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.