Organization
DIVINE CONSULTING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNEITH DURDEN ED.D (CEO/OWNER)
(475) 455-2092
Entity
Organization
Contact information
Practice address
5910 GA HIGHWAY 21 S, UNIT 6, RINCON, GA 31326-5505
(912) 988-3649
(888) 572-7924
Mailing address
5910 GA HIGHWAY 21 S, UNIT 6, RINCON, GA 31326-5505
(912) 988-3649
(888) 572-7924
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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