Organization
DIVINE CARE CONSULTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISATA BAH (PROVIDER)
(201) 693-7798
Entity
Organization
Contact information
Practice address
6 LILAC LN, BORDENTOWN, NJ 08505-4821
(201) 693-7798
Mailing address
6 LILAC LN, BORDENTOWN, NJ 08505-4821
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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