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Organization

DIVINE ALTERNATIVES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA CARTER (EXECUTIVE DIRECTOR- CEO)
(678) 548-3523
Entity
Organization

Contact information

Practice address
9505 HUCKABEE DR NE, LELAND, NC 28451-9261
(910) 262-3884
Mailing address
9505 HUCKABEE DR NE, LELAND, NC 28451-9261
(910) 262-3884

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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