Organization
D.I.V.I.N.E. INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARETTA-RIE JOHNSON (CEO)
(651) 447-5120
Entity
Organization
Contact information
Practice address
729 PENN AVE N, MINNEAPOLIS, MN 55411-3625
(612) 459-7011
(651) 409-9530
Mailing address
838 STELLAR PL, SAINT PAUL, MN 55117-5446
(651) 447-5120
(651) 409-9530
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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