Organization
DEVINE MINES, LLC
Active
Other names
Devine Mines,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMETRIA HAWKINS (MANAGER)
(562) 477-0794
Entity
Organization
Contact information
Practice address
6 CENTERPOINTE DR, LA PALMA, CA 90623-2503
(562) 477-0794
Mailing address
16726 ALBURTIS AVE, ARTESIA, CA 90701-1709
(562) 477-0794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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