Organization
DYVINE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID YOUNG (CEO/PRESIDENT)
(646) 309-2785
Entity
Organization
Contact information
Practice address
5305 CLEARWATER LAKE RD, MT HOLLY, NC 28120-1445
(646) 309-2785
Mailing address
5305 CLEARWATER LAKE RD, MT HOLLY, NC 28120-1445
(646) 309-2785
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
10/31/2023
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