Organization
DIVINE INTERVENTION
Active
Organization
DIVINE INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LYNN FRYE (CEO)
(919) 638-8461
Entity
Organization
Contact information
Practice address
1415 HOLLOWAY ST, DURHAM, NC 27703-2125
(919) 638-8461
(919) 683-3172
Mailing address
PO BOX 1885, DURHAM, NC 27702-1885
(919) 638-8461
(919) 683-3172
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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