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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