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Organization
DIVINE CARE HEALTH AND WELLNESS LLC
Active
Organization
DIVINE CARE HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE ADIBE (PSYCHIATRIC MENTAL HEALTH NURSE PRA)
(857) 574-4497
Entity
Organization
Contact information
Practice address
500 WESTGATE DR # 1016, BROCKTON, MA 02301-1855
(857) 574-4497
Mailing address
500 WESTGATE DR # 1016, BROCKTON, MA 02301-1855
(857) 574-4497
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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