Organization
DIVINE INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA L THOMPSON PHD, LPC (PRESIDENT/CEO)
(816) 679-0914
Entity
Organization
Contact information
Practice address
11901 E 61ST ST, KANSAS CITY, MO 64133-4351
(816) 679-0914
Mailing address
11901 E 61ST ST, KANSAS CITY, MO 64133-4351
(816) 679-0914
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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