Organization
DEVINE CARE LLC
Active
Organization
DEVINE CARE LLC
Active
Other names
Devine Care Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ORIABURE (ADMINISTRATOR)
(623) 330-6269
Entity
Organization
Contact information
Practice address
10240 N 31ST AVE STE 122, PHOENIX, AZ 85051-9564
(623) 330-6269
Mailing address
10240 N 31ST AVE STE 122, PHOENIX, AZ 85051-9564
(623) 330-6269
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/07/2022
Last updated
11/25/2024
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