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Organization

A GREATER DIVINE PLACE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DARIN GRIFFIN (OWNER CEO)
(336) 239-4312
Entity
Organization

Contact information

Practice address
366 BREMEN GARDEN DR, LEXINGTON, NC 27295-6044
(336) 484-8022
Mailing address
100 HAMILTON RD, LEXINGTON, NC 27295-1831
(336) 239-4312

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
029098
NC

Other

Enumeration date
01/17/2007
Last updated
08/22/2020
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