Organization
DIVINE TREATMENT CENTER LLC
Active
Parent organization
C&A HOMECARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
C&A HOMECARE LLC
Authorized official
CARNOT MUNYANDAMUTSA (ADMINISTRATOR)
(602) 394-5989
Entity
Organization
Contact information
Practice address
3707 E SOUTHERN AVE STE 2077, MESA, AZ 85206-6219
(602) 394-5989
Mailing address
3707 E SOUTHERN AVE STE 2079, MESA, AZ 85206-6219
(602) 394-5989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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