Organization
DIVINE TRINITY OUTREACH CENTER
Active
Organization
DIVINE TRINITY OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE MAE IVORY B.S., CADAC (EXECUTIVE DIRECTOR)
(901) 265-6146
Entity
Organization
Contact information
Practice address
2544 HERNANDO RD, MEMPHIS, TN 38106-8314
(901) 265-6146
Mailing address
2544 HERNANDO RD, MEMPHIS, TN 38106-8314
(901) 249-4959
(901) 308-1733
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
01/05/2023
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