NPI 1699274860

Divine Intervention Treatment Facility LLC

Organisation Substance Use Disorder Rehabilitation Hospital Unit Violet, LA

Practice location

Address: 5665 6th St, Violet, LA 70092-3040
Phone: (504) 415-9371
Mailing address: PO Box 259, Violet, LA 70092-0259

Authorised official

Name: Terione Monique Brock
Title: Owner/Manager
Phone: (504) 415-9371

Registered specialties (2)

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X

Other Rehabilitation, Substance Use Disorder Unit providers in Louisiana →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Louisiana →

Registry record

NPI: 1699274860
Entity type: Organization
NPI issued: 2 Feb 2018
Record last updated: 2 Feb 2018

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.