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Organization
DIVINE YOUTH GUIDANCE LLC
Active
Organization
DIVINE YOUTH GUIDANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULISSA ROWE (OWNER)
(210) 717-4999
Entity
Organization
Contact information
Practice address
3700 FREDERICKSBURG RD STE 108, SAN ANTONIO, TX 78201-3266
(210) 717-4999
Mailing address
3700 FREDERICKSBURG RD STE 108, SAN ANTONIO, TX 78201-3266
(210) 717-4999
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
05/09/2024
Last updated
07/28/2026
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