# DIVINE PURPOSE LEGACY GROUP, INC

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

## Provider details

- **NPI number:** 1265388078
- **Authorized official:** JONATHAN DOREST (OWNER)
- **Authorized official phone:** (704) 606-5240

## Contact information

- **Practice address:** 8222 GABON CT, CHARLOTTE, NC 28215-7625
- **Practice address phone:** (704) 606-5240
- **Mailing address:** 9600 PERIMETER STATION DR APT 405, CHARLOTTE, NC 28216-4387
- **Mailing address phone:** (704) 606-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/05/2026
- **Last updated:** 03/05/2026