Organization
DIVINE SPEECH AND LANGUAGE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSE MOORE (OWNER)
(404) 993-6981
Entity
Organization
Contact information
Practice address
1229 BATTLECREEK RD STE 210, JONESBORO, GA 30236-2409
(770) 471-5041
Mailing address
1229 BATTLECREEK RD STE 210, JONESBORO, GA 30236-2409
(770) 471-5041
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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