Gods Divine Purpose

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Elon, NC

NPI 1508197328 · NPPES record last updated Jan 18, 2010

Key facts

NPI
1508197328
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
License
MHL-001190 (NC)
Legal business name
GODS DIVINE PURPOSE
Practice address
3437 Shepherd Rd TRLR 42
Elon, NC 27244-7553
Phone
(336) 420-7893
NPI assigned
Jan 18, 2010
Organization subpart
No

Authorized official

Name
Arthur Earl Blackwell
Title
Director
Phone
(336) 420-7893

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-001190 NC Yes

Addresses

Primary practice location

3437 Shepherd Rd TRLR 42
Elon, NC 27244-7553

Mailing address

3437 Shepherd Rd TRLR 42
Elon, NC 27244-7553

Other providers in Elon, NC

All providers in Elon, NC · Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.