Organization
DIVINE INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELA M RIVERA LCSW, CSAC, ICS (PSYCHOTHERAPIST)
(414) 645-9345
Entity
Organization
Contact information
Practice address
3137 W PIERCE ST, MILWAUKEE, WI 53215-1117
(414) 645-9345
(414) 645-9345
Mailing address
3137 W PIERCE ST, MILWAUKEE, WI 53215-1117
(414) 645-9345
(414) 645-9345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7618-123
WI
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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