Organization
DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEWALE SONIREGUN (CEO)
(240) 882-0536
Entity
Organization
Contact information
Practice address
85 HIGH ST, WALDORF, MD 20602-2150
(240) 882-0536
Mailing address
7502 DOGWOOD LN, HANOVER, MD 21076-3170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/13/2024
Last updated
08/23/2024
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