Organization
DIVINE INTERVENTION FOR YOUTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AQUISHA CARR BSW (EXECUTIVE DIRECTOR)
(252) 947-2012
Entity
Organization
Contact information
Practice address
203 GREEN STREET, WILLIAMSTON, NC 27892
(252) 789-8378
(252) 789-8379
Mailing address
PO BOX 2982, WASHINGTON, NC 27889
(252) 789-8378
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
10/23/2008
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