Organization
DIVINE OPTIONS, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN MARIA BARRERA L.S.P. (PRESIDENT)
(305) 785-3422
Entity
Organization
Contact information
Practice address
56 TRUMAN DR, WESTON, FL 33326-3111
(305) 785-3422
Mailing address
56 TRUMAN DR, WESTON, FL 33326-3111
(305) 785-3422
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SS00000575
FL
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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