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Organization

DIVINE BEHAVIORAL SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SARA PACITA GODDARD (CEO)
(757) 833-6290
Entity
Organization

Contact information

Practice address
6270 RED OAK RD, COLLEGE PARK, GA 30349-4023
(175) 777-3234
Mailing address
104 DRUM POINTE, NEWPORT NEWS, VA 23603-1381

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/28/2010
Last updated
10/28/2010
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