Organization
DIVINITY SENTIMENTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE D GATEWOOD BBA (CEO)
(770) 898-3002
Entity
Organization
Contact information
Practice address
4328 CLEVEMONT RD, ELLENWOOD, GA 30294-1329
(404) 212-9666
Mailing address
1064 ROWANSHYRE CIR, MCDONOUGH, GA 30253-2917
(770) 898-3002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805877657A
—
GA
Enumeration date
09/05/2007
Last updated
04/30/2008
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