# DYVINE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255053864
- **Authorized official:** MR. DAVID YOUNG (CEO/PRESIDENT)
- **Authorized official phone:** (646) 309-2785

## Contact information

- **Practice address:** 5305 CLEARWATER LAKE RD, MT HOLLY, NC 28120-1445
- **Practice address phone:** (646) 309-2785
- **Mailing address:** 5305 CLEARWATER LAKE RD, MT HOLLY, NC 28120-1445
- **Mailing address phone:** (646) 309-2785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2022
- **Last updated:** 08/27/2026