Organization
DIVINE BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA GODDARD (OWNER)
(757) 223-5924
Entity
Organization
Contact information
Practice address
11846 ROCK LANDING DR STE A, NEWPORT NEWS, VA 23606-4423
(757) 223-5924
Mailing address
11846 ROCK LANDING DR STE A, NEWPORT NEWS, VA 23606-4423
(757) 223-5924
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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