Organization
DIVINE WISDOM INTERVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEI WILLIAMS (COO)
(336) 380-1967
Entity
Organization
Contact information
Practice address
115 E HARDEN ST STE 102, GRAHAM, NC 27253-3001
(336) 266-7975
Mailing address
115 E HARDEN ST STE 102, GRAHAM, NC 27253-3001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/30/2024
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