Organization
DIVINE GUIDANCE INTEGRATIVE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WARD (DIRECTOR)
(252) 695-6040
Entity
Organization
Contact information
Practice address
2317 EXECUTIVE CIR, SUITE B, GREENVILLE, NC 27834-3762
(252) 695-6040
Mailing address
2317 EXECUTIVE CIR, SUITE B, GREENVILLE, NC 27834-3762
(252) 695-6040
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301931B
—
NC
Enumeration date
07/31/2007
Last updated
07/10/2008
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