Organization
DIVINE INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KYSHIA A JONES MS (OWNER)
(704) 230-9015
Entity
Organization
Contact information
Practice address
1792 PERGOLA PL, CHARLOTTE, NC 28213-2107
(704) 230-9015
Mailing address
1792 PERGOLA PL, CHARLOTTE, NC 28213-2107
(704) 230-9015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
04/05/2011
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