Organization
DIVINE INTERVENTION TREATMENT FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERIONE MONIQUE BROCK (OWNER/MANAGER)
(504) 415-9371
Entity
Organization
Contact information
Practice address
5665 6TH ST, VIOLET, LA 70092-3040
(504) 415-9371
Mailing address
PO BOX 259, VIOLET, LA 70092-0259
(504) 415-9371
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us