Organization
DIVINITY HEALTH CENTRE
Active
Other names
DIVINITY HEALTH CENTRE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIDIER TWAGIRAYEZU (CEO)
(817) 480-3474
Entity
Organization
Contact information
Practice address
120 E 1ST ST, CASA GRANDE, AZ 85122-5202
(817) 480-3474
Mailing address
120 E 1ST ST, CASA GRANDE, AZ 85122-5202
(817) 480-3474
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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