Organization
DIVINE COMMUNITY ADVOCATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDREKA RICHARDSON MSW (PRESIDENT)
(219) 796-0556
Entity
Organization
Contact information
Practice address
6515 LIGHTHOUSE DRIVE, SUITE 204, PORTAGE, IN 46368
(870) 816-7570
Mailing address
6515 LIGHTHOUSE DRIVE, SUITE 204, PORTAGE, IN 46368
(870) 816-7570
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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