Organization
DIVINE PURPOSE COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJUAN FELDER (OWNER)
(410) 805-1070
Entity
Organization
Contact information
Practice address
1330 SMITH AVE, BALTIMORE, MD 21209-3878
(410) 805-1070
Mailing address
1340 SMITH AVE, BALTIMORE, MD 21209-3701
(410) 805-1070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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